Provider Demographics
NPI:1528268927
Name:VITAL SIGNS ANESTHESIA, INC
Entity type:Organization
Organization Name:VITAL SIGNS ANESTHESIA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HERMAN
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-999-8744
Mailing Address - Street 1:PO BOX 15064
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85060-5064
Mailing Address - Country:US
Mailing Address - Phone:602-999-8744
Mailing Address - Fax:602-840-1782
Practice Address - Street 1:4971 E LAFAYETTE BLVD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-4429
Practice Address - Country:US
Practice Address - Phone:602-999-8744
Practice Address - Fax:602-840-1782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty