Provider Demographics
NPI:1518100015
Name:YUMA VALLEY ANESTHESIA, PLLC
Entity Type:Organization
Organization Name:YUMA VALLEY ANESTHESIA, PLLC
Other - Org Name:YUMA VALLEY ADVANCED PAIN MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:928-304-0238
Mailing Address - Street 1:4698 W 23RD LN
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-7842
Mailing Address - Country:US
Mailing Address - Phone:928-276-4267
Mailing Address - Fax:
Practice Address - Street 1:2270 S RIDGEVIEW DR
Practice Address - Street 2:SUITE 300
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8875
Practice Address - Country:US
Practice Address - Phone:928-247-7674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-14
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ32246261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain