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Organization

PINE VIEW ANESTHESIA PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RODNEY MOFFETT CRNA (SOLE MEMBER)
(602) 273-6770
Entity
Organization

Contact information

Practice address
807 S PONDEROSA ST, PAYSON, AZ 85541-5542
(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

Other

Enumeration date
09/26/2011
Last updated
09/26/2011
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