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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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