Organization
NORTHEASTERN ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH WILLIAM MARTIN CRNA (OWNER)
(559) 289-4574
Entity
Organization
Contact information
Practice address
5700 E HIGHWAY 90, SIERRA VISTA, AZ 85635-9110
(520) 263-3835
(520) 263-3919
Mailing address
PO BOX 849955, LOS ANGELES, CA 90084-9955
(877) 747-5050
(775) 747-5005
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/22/2010
Last updated
03/17/2026
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