Healthcare Provider Details

I. General information

NPI: 1467222166
Provider Name (Legal Business Name): INTEGRITY ANESTHESIA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2024
Last Update Date: 01/03/2024
Certification Date: 01/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36453 N GANTZEL RD
SAN TAN VALLEY AZ
85140-7339
US

IV. Provider business mailing address

PO BOX 2620
IDAHO FALLS ID
83403-2620
US

V. Phone/Fax

Practice location:
  • Phone: 480-562-5292
  • Fax:
Mailing address:
  • Phone: 800-338-5378
  • Fax: 208-523-8978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: JILL SAILER
Title or Position: OWNER
Credential: CRNA
Phone: 701-471-1551