Provider Demographics
NPI:1891574372
Name:BEAR HILL ANESTHESIA PC
Entity Type:Organization
Organization Name:BEAR HILL ANESTHESIA PC
Other - Org Name:BEAR HILL ANESTHESIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JUN
Authorized Official - Last Name:KUMASAKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:928-699-5217
Mailing Address - Street 1:921 W GRAND CANYON AVE
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-5416
Mailing Address - Country:US
Mailing Address - Phone:928-699-5217
Mailing Address - Fax:
Practice Address - Street 1:900 N SAN FRANCISCO ST
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-3236
Practice Address - Country:US
Practice Address - Phone:928-779-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-25
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty