Organization
CASCABEL ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL G. BENNETT CRNA (OWNER)
(602) 273-6770
Entity
Organization
Contact information
Practice address
310 N WILMOT RD, SUITE 309, TUCSON, AZ 85711-2618
(602) 273-6770
(602) 889-0483
Mailing address
PO BOX 29211, PHOENIX, AZ 85038-9211
(602) 273-6770
(602) 889-0483
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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