Organization
SUNRISE ANESTHESIA & PAIN MANAGEMENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C ALLEN CRNA (CEO/PROVIDER)
(928) 468-3132
Entity
Organization
Contact information
Practice address
114 S MOUNTAIN AVE, SPRINGERVILLE, AZ 85938-5104
(928) 333-0562
(928) 333-7157
Mailing address
PO BOX 1917, SPRINGERVILLE, AZ 85938-1917
(928) 468-3132
(888) 589-1943
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
CRNA0632
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
464411
—
AZ
Enumeration date
03/16/2011
Last updated
03/16/2011
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