Organization
NNKS ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA HERNANDEZ (DIRECTOR)
(602) 800-9380
Entity
Organization
Contact information
Practice address
16620 NORTH 40TH STREET, SUITE D-1, PHOENIX, AZ 85032
(602) 800-9380
Mailing address
16620 NORTH 40TH STREET, SUITE D-1, PHOENIX, AZ 85032
(602) 800-9380
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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