Organization
ASCEND ANESTHESIA ASSOCIATES MT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA HENDERSON (MEMBER)
(480) 874-7014
Entity
Organization
Contact information
Practice address
4802 E RAY RD STE E23-273, PHOENIX, AZ 85044-6405
(480) 874-7014
Mailing address
PO BOX 5870, MESA, AZ 85211-5870
(480) 874-7014
(480) 874-7015
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
06/13/2023
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