Organization
OLD PUEBLO ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTY FRESH HCM, MBA, FACMPE, LS (ADMINISTRATOR)
(520) 324-2030
Entity
Organization
Contact information
Practice address
2810 N SWAN RD, SUITE 100, TUCSON, AZ 85712-6305
(520) 324-2030
(520) 445-6019
Mailing address
2810 N SWAN RD, SUITE 100, TUCSON, AZ 85712-6300
(520) 324-2030
(520) 445-6019
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096736
—
AZ
Enumeration date
05/23/2006
Last updated
05/15/2020
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