Healthcare Provider Details

I. General information

NPI: 1891744306
Provider Name (Legal Business Name): EDWARD R GARCIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 09/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 N CENTRAL AVE SUITE 1600 VALLEY ANESTHESIOLOGY CONSULTANTS
PHOENIX AZ
85004-4527
US

IV. Provider business mailing address

1850 N CENTRAL AVE SUITE 1600 VALLEY ANESTHESIOLOGY CONSULTANTS
PHOENIX AZ
85004-4527
US

V. Phone/Fax

Practice location:
  • Phone: 602-262-8900
  • Fax:
Mailing address:
  • Phone: 602-262-8900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number223320
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number41017
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: