Organization
SOUTH VALLEY ANESTHESIA, LLC
Active
Other names
South Valley Anesthesia, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN HENRY MD (SOLE MEMBER)
(309) 868-2531
Entity
Organization
Contact information
Practice address
36453 N GANTZEL RD STE 101, SAN TAN VALLEY, AZ 85140-7340
(480) 652-3338
(480) 652-3338
Mailing address
36453 N GANTZEL RD STE 101, SAN TAN VALLEY, AZ 85140-7340
(602) 903-1527
(309) 692-7226
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
12/26/2019
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