Organization
SUNRISE ANESTHESIA & PAIN MANAGEMENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CLIFFORD ALLEN CRNA (CEO)
(888) 696-6654
Entity
Organization
Contact information
Practice address
118 S MOUNTAIN AVE, SPRINGERVILLE, AZ 85938-5104
(888) 696-6654
(877) 471-1264
Mailing address
PO BOX 1917, SPRINGERVILLE, AZ 85938-1917
(888) 696-6654
(877) 471-1264
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
8633
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0632
AZ
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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