Organization
GALAXY ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH BANGART DPM (MANAGER)
(623) 230-2912
Entity
Organization
Contact information
Practice address
13660 N 94TH DR, D-1, PEORIA, AZ 85381-8538
(623) 230-2912
(602) 726-3605
Mailing address
7558 W THUNDERBIRD RD, SUITE 1-623, PEORIA, AZ 85381-4836
(623) 230-2912
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207LP3000X
Pediatric Anesthesiology Physician
—
—
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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