Healthcare Provider Details

I. General information

NPI: 1013139617
Provider Name (Legal Business Name): NORTH VALLEY ANESTHESIA CONSULTANTS, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 06/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 E DUNLAP AVE
PHOENIX AZ
85020
US

IV. Provider business mailing address

PO BOX 7118
CHANDLER AZ
85246-7118
US

V. Phone/Fax

Practice location:
  • Phone: 602-943-2381
  • Fax:
Mailing address:
  • Phone: 480-899-1711
  • Fax: 480-857-6601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM J. RICE
Title or Position: PRESIDENT
Credential: MD
Phone: 480-899-1711