OrganizationActive
Advanced Anesthesia Group, LLC
NPI 1467497974 · Certified Registered Nurse Anesthetist · Flagstaff, AZ
Provider details
- NPI number
- 1467497974
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Donald Snyder, Cfo(602) 955-1000
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1030 N San Francisco St
Suite 130
Flagstaff, AZ 86001-3252
Phone: (602) 955-1000
Fax: (602) 508-4830
Approximate (ZIP-level) locationGet directions
Mailing address
4800 N 22nd St
Phoenix, AZ 85016-4701
Registry dates
- Enumerated
- 2006-06-18
- Last updated
- 2007-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.