Organization
ARES ANESTHESIOLOGY, PC
Active
Organization
ARES ANESTHESIOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RAUL ARES MD (PRESIDENT)
(928) 230-1451
Entity
Organization
Contact information
Practice address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5607
(928) 230-1451
(928) 855-7337
Mailing address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5607
(928) 230-1451
(928) 855-7337
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
AZ30822
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
776700
—
AZ
01
—
AZ0733520
BCBS
AZ
01
—
P00022339
RR MC
AZ
Enumeration date
01/25/2007
Last updated
08/22/2020
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