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NPI Code Detail

MEDICARE: MEDSTAT ANESTHESIA CONSULTANTS

MEDICARE: MEDSTAT ANESTHESIA CONSULTANTS
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
1207L00000XAnesthesiology Physician26109AZ

General Provider Information

NPI Number : 1962573436
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDSTAT ANESTHESIA CONSULTANTS
Provider Business Mailing Address
First Line : PO BOX 1328
Second Line :
City : DRAPER
State : UT
Zip : 84020-1328
Country : US
Telephone Number : 714-935-0073
Fax Number : 714-935-0075
Provider Business Practice Location Address
First Line : 5330 S HIGHWAY 95
Second Line :
City : FORT MOHAVE
State : AZ
Zip : 86426-9225
Country : US
Telephone Number : 928-788-2273
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. ANDRES ALVARADO
Credential : M.D.
Telephone Number : 714-935-0073
Provider Enumeration Date : 11/13/2006
Last Update Date : 08/22/2020

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Directions to “MEDSTAT ANESTHESIA CONSULTANTS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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