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Organization

SQUAW PEAK ANESTHESIA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MAUREEN B RILEY CRNA, BSN, MAE (PRESIDENT)
(602) 371-4973
Entity
Organization

Contact information

Practice address
1411 E BAYVIEW DR, TEMPE, AZ 85283-2170
(602) 300-6383
(602) 467-4721
Mailing address
PO BOX 81024, PHOENIX, AZ 85069-1024
(602) 371-4973
(602) 467-4721

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN060004
AZ

Other

Enumeration date
08/27/2009
Last updated
02/09/2012
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