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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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