Provider Demographics
NPI:1629357058
Name:SOLER, JAMES G (CRNA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:G
Last Name:SOLER
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
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Mailing Address - Street 1:PO BOX 20544
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85277-0544
Mailing Address - Country:US
Mailing Address - Phone:602-499-6055
Mailing Address - Fax:480-393-4477
Practice Address - Street 1:1232 E BROADWAY RD STE 205
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-1509
Practice Address - Country:US
Practice Address - Phone:480-874-7014
Practice Address - Fax:480-874-7015
Is Sole Proprietor?:No
Enumeration Date:2011-08-16
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZCRNA0816367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ673340OtherAHCCCS
AZ673340OtherAHCCCS