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Organization

DEEP DREAM ANESTHESIA LLC

Active
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Organization

DEEP DREAM ANESTHESIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDEEP MAYUR (OWNER)
(713) 598-3454
Entity
Organization

Contact information

Practice address
3955 E NAVIGATOR LN, PHOENIX, AZ 85050-5449
(713) 598-3454
Mailing address
3955 E NAVIGATOR LN, PHOENIX, AZ 85050-5449
(713) 598-3454

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
11/16/2018
Last updated
11/16/2018
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