Organization
PEACHTREE DREAM ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON HARGRAVES MD (OWNER)
(928) 763-4333
Entity
Organization
Contact information
Practice address
1800 HIGHWAY 95, BULLHEAD CITY, AZ 86442-6803
(928) 763-4333
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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