Taylor Gary Corry, CRNA | |
1200 W Mohave Rd, La Paz Regional Hospital, Parker, AZ 85344-6349 | |
(928) 669-7311 | |
Not Available |
Full Name | Taylor Gary Corry |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1200 W Mohave Rd, Parker, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245598671 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 179809 (Arizona) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 0948 (Arizona) | Primary |
Entity Name | La Paz Regional Hospital Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1053684555 PECOS PAC ID: 1557273356 Enrollment ID: O20120409000056 |
Entity Name | Anesthesia Partners & Management Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336530997 PECOS PAC ID: 9931429198 Enrollment ID: O20150529000706 |
Mailing Address | Practice Location Address |
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Taylor Gary Corry, CRNA 3309 Newport Dr, Lake Havasu City, AZ 86406-5551 Ph: (435) 671-6246 | Taylor Gary Corry, CRNA 1200 W Mohave Rd, La Paz Regional Hospital, Parker, AZ 85344-6349 Ph: (928) 669-7311 |
Eric E Sisam, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 W Mohave Rd, Parker, AZ 85344 Phone: 928-669-9201 | |
William G Borman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1200 W Mohave Rd, Parker, AZ 85344 Phone: 928-669-9201 | |
Tricia Buchholz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 W Mohave Rd, Parker, AZ 85344 Phone: 928-669-9201 |