Pine View Anesthesia Pllc

NPI #1912280900 in Payson, Arizona

Provider Information

NPI Number
1912280900
Entity Type
Organization
Organization Name
Pine View Anesthesia Pllc
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Sep 26, 2011
Last Updated
Sep 26, 2011

Practice Location

Address
807 S PONDEROSA ST
City
Payson
State
Arizona
ZIP Code
85541-5542
Phone
(602) 273-6770

Authorized Official

Name
RODNEY MOFFETT, CRNA
Title
SOLE MEMBER
Phone
(602) 273-6770

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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