Organization
HOFTB ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEONNA CARLSON CRNA (NURSE ANESTHETIST)
(602) 450-9862
Entity
Organization
Contact information
Practice address
6320 W UNION HILLS DR STE 1400B, GLENDALE, AZ 85308-1061
(623) 688-5400
Mailing address
8311 E VIA DE VENTURA APT 2060, SCOTTSDALE, AZ 85258-6617
(602) 350-9862
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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