Individual
DR. EZEKIEL JOHN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
18205 N 51ST AVE STE 109, GLENDALE, AZ 85308-1491
(602) 547-1400
Mailing address
23363 N 61ST DR, GLENDALE, AZ 85310-5736
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
007195
AZ
Other
Enumeration date
04/04/2013
Last updated
11/22/2017
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