Organization
PREMIER ANESTHESIA OF ARIZONA PC
Active
Organization
PREMIER ANESTHESIA OF ARIZONA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY WALKER (VP)
(678) 690-7812
Entity
Organization
Contact information
Practice address
14200 W CELEBRATE LIFE WAY, GOODYEAR, AZ 85338-3007
(855) 761-0074
Mailing address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(855) 220-3662
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207LP3000X
Pediatric Anesthesiology Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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