Healthcare Provider Details
I. General information
NPI: 1700798006
Provider Name (Legal Business Name): DESERT HORIZON ANESTHESIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
19410 N 68TH AVE
GLENDALE AZ
85308-5513
US
IV. Provider business mailing address
19410 N 68TH AVE
GLENDALE AZ
85308-5513
US
V. Phone/Fax
- Phone: 505-710-6292
- Fax:
- Phone: 505-710-6292
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AARON
MORROW
Title or Position: OWNER
Credential:
Phone: 505-710-6292