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Organization

SOUTHWEST ANESTHESIA SERVICES LLC

Active
Other names
Southwest Anesthesia Services
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELISA MICHELLE FAYBUSH M.D. (MEDICAL DIRECTOR)
(480) 545-6060
Entity
Organization

Contact information

Practice address
2223 E BASELINE RD, SUITE B, GILBERT, AZ 85234-2325
(480) 289-5266
(480) 289-5271
Mailing address
2223 E BASELINE RD, SUITE B, GILBERT, AZ 85234-2325
(480) 289-5266
(480) 289-5271

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AZ

Other

Enumeration date
03/08/2016
Last updated
04/11/2016
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