Organization
CACTUS VALLEY ANESTHESIA PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F. KYCEY CRNA (MEMBER)
(602) 273-6770
Entity
Organization
Contact information
Practice address
2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7831
(602) 273-6770
(602) 889-0483
Mailing address
PO BOX 29211, PHOENIX, AZ 85038-9211
(602) 273-6770
(602) 889-0483
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN065393
AZ
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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