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Organization

AZMAC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIANOUSH KIAN M.D. (OWNER)
(480) 632-2020
Entity
Organization

Contact information

Practice address
3303 E BASELINE ROAD, SUITE 104, GILBERT, AZ 85234-2739
(480) 632-2020
(480) 632-2121
Mailing address
3303 E BASELINE ROAD, SUITE 104, GILBERT, AZ 85234-2739
(480) 632-2020
(480) 632-2121

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
07/13/2016
Last updated
07/20/2016
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