Organization
FIELD OF DREAMS ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER PHILIP VASEN CRNA (CEO)
(253) 324-9034
Entity
Organization
Contact information
Practice address
7301 N 16TH ST, STE 102, PHOENIX, AZ 85020-5266
(480) 420-4027
Mailing address
803 124TH AVE E, EDGEWOOD, WA 98372-6504
(253) 324-9034
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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