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NPI Code Detail

MEDICARE: VIRTUOUS ANESTHESIA

MEDICARE: VIRTUOUS ANESTHESIA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1881168656
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIRTUOUS ANESTHESIA
Provider Business Mailing Address
First Line : 610 E BASELINE RD
Second Line :
City : TEMPE
State : AZ
Zip : 85283-1204
Country : US
Telephone Number : 602-903-0360
Fax Number : 602-889-5434
Provider Business Practice Location Address
First Line : 610 E BASELINE RD
Second Line :
City : TEMPE
State : AZ
Zip : 85283-1204
Country : US
Telephone Number : 602-903-0360
Fax Number : 602-889-5434
Authorized Official
Title or Position : COO
Name : SUSAN NANCE
Credential : RN
Telephone Number : 602-903-0360
Provider Enumeration Date : 01/15/2019
Last Update Date : 05/12/2026

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Directions to “VIRTUOUS ANESTHESIA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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