Organization
MOUNTAIN WEST ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SORINA KING (BILLING MANAGER)
(480) 545-2610
Entity
Organization
Contact information
Practice address
20940 N TATUM BLVD STE 100, PHOENIX, AZ 85050-7259
(480) 502-4000
Mailing address
6728 E GRANDVIEW DR, SCOTTSDALE, AZ 85254-5668
(480) 545-2610
(480) 545-2673
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0763
AZ
Other
Enumeration date
08/31/2017
Last updated
09/18/2017
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