Organization
FH ANESTHESIA GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON BACA (MANAGER)
(505) 506-0737
Entity
Organization
Contact information
Practice address
5133 N CENTRAL AVE STE 110, PHOENIX, AZ 85012-1438
(505) 506-0737
Mailing address
5133 N CENTRAL AVE STE 110, PHOENIX, AZ 85012-1438
(505) 506-0737
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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