Organization
PARADIGM ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WALL DDS (OWNER)
(661) 529-2885
Entity
Organization
Contact information
Practice address
14050 N 83RD AVE STE 290, PEORIA, AZ 85381-5650
(661) 529-2885
Mailing address
14050 N 83RD AVE STE 290, PEORIA, AZ 85381-5650
(661) 529-2885
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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