Organization
OPTIMUM ANESTHESIA SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY J WONG MD (PRESIDENT)
(602) 418-6687
Entity
Organization
Contact information
Practice address
6245 N 16TH ST, PHOENIX, AZ 85016-1706
(602) 499-8243
Mailing address
8405 E VISTA CANYON CIR, MESA, AZ 85207-1469
(602) 418-6687
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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