Individual
BRYAN DANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN184932
AZ
207L00000X
Anesthesiology Physician
RN184932
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1038
AZ
Other
Enumeration date
04/18/2014
Last updated
10/01/2020
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