Organization
ADVANCED ANESTHESIA GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD SNYDER (CREDENTIALING MANAGER)
(602) 955-1000
Entity
Organization
Contact information
Practice address
1375 W 16TH ST, SUITE B, YUMA, AZ 85364-4497
(602) 955-1000
(602) 508-4843
Mailing address
4800 N 22ND ST, PHOENIX, AZ 85016-4701
(602) 955-1000
(602) 508-4843
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
06/18/2006
Last updated
08/03/2007
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