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NPI Code Detail

MEDICARE: ADVANCED ANESTHESIA CARE P.C.

MEDICARE: ADVANCED ANESTHESIA CARE P.C.
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
1174400000XSpecialist98-235NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174749964
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED ANESTHESIA CARE P.C.
Provider Business Mailing Address
First Line : PO BOX 1206
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-1206
Country : US
Telephone Number : 505-426-3716
Fax Number : 505-426-3722
Provider Business Practice Location Address
First Line : 104 LEGION DR
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-4804
Country : US
Telephone Number : 505-426-3716
Fax Number : 505-426-3722
Authorized Official
Title or Position : PRESIDENT
Name : DR. WILLIAM H CHAFFEE
Credential : M.D.
Telephone Number : 505-426-3716
Provider Enumeration Date : 04/18/2007
Last Update Date : 02/11/2008

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Directions to “ADVANCED ANESTHESIA CARE P.C. ” Practice Location

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