Organization
ENDOSCOPY ANESTHESIA SERVICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THINH KIM LE MD (MANAGER)
(623) 332-1441
Entity
Organization
Contact information
Practice address
12361 W BOLA DR STE 107, SURPRISE, AZ 85378-9021
(623) 332-1441
(623) 974-9741
Mailing address
4808 N 24TH ST UNIT 1201, PHOENIX, AZ 85016-9114
(623) 332-1441
(623) 974-9741
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
31542
AZ
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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