Organization
PINNACLE WEST ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD KELLER CRNA (CRNA/OWNER)
(615) 620-2320
Entity
Organization
Contact information
Practice address
2373 G RD STE 180, GRAND JUNCTION, CO 81505-1003
(615) 620-2320
Mailing address
PO BOX 292817, NASHVILLE, TN 37229-2817
(615) 620-2320
(615) 620-2323
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
10/04/2021
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