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Organization

PRESCOTT ANESTHESIA MANAGEMENT

Active
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Organization

PRESCOTT ANESTHESIA MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AARON KOVAC (OWNER)
(480) 626-1746
Entity
Organization

Contact information

Practice address
21300 PROVINCIAL BLVD STE 200, KATY, TX 77450-7580
(480) 626-1746
Mailing address
2120 E KAIBAB PL, CHANDLER, AZ 85249-5492

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
02/04/2020
Last updated
02/04/2020
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