Organization
PREMIER HD CVT ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN DEPAOLO CRNA (MEMBER)
(602) 395-0718
Entity
Organization
Contact information
Practice address
7878 N 16TH ST, PHOENIX, AZ 85020-4449
(602) 395-0718
(602) 277-8146
Mailing address
PO BOX 39179, PHOENIX, AZ 85069-9179
(602) 395-0718
(602) 277-8146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0791
AZ
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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