Individual
GARRETT GLEAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2345 E THOMAS RD STE 400, PHOENIX, AZ 85016-7862
(602) 343-2900
Mailing address
16023 W EVANS DR, SURPRISE, AZ 85379-5104
(801) 791-1715
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN217218
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
251520
AZ
Other
Enumeration date
10/29/2020
Last updated
02/01/2021
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