Organization
PARKSIDE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZEKIEL ANDERSON DO (OWNER)
(507) 398-6573
Entity
Organization
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 395-0718
Mailing address
PO BOX 39179, PHOENIX, AZ 85069-9179
(023) 437-9646
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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