Organization
CACTUS DESERT ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAL WAGNER DO (OWNER)
(480) 425-2160
Entity
Organization
Contact information
Practice address
2421 E SOUTHERN AVE STE 7, TEMPE, AZ 85282-7612
(480) 425-2160
(480) 839-4727
Mailing address
PO BOX 41150, MESA, AZ 85274-1150
(480) 425-2160
(480) 839-4727
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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