Organization
SANTA CRUZ ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L KING CRNA (PARTNER)
(520) 287-4020
Entity
Organization
Contact information
Practice address
1209 W TARGET RANGE ROAD, SUITE 102, NOGALES, AZ 85621
(520) 287-4020
(520) 287-2348
Mailing address
PO BOX 819, NOGALES, AZ 85628-0819
(520) 287-4020
(520) 287-2348
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121848
—
AZ
Enumeration date
09/07/2006
Last updated
08/22/2020
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