Organization
WSR ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEA MAGILL CRNA (OWNER)
(480) 813-6309
Entity
Organization
Contact information
Practice address
24 W GARY AVE, GILBERT, AZ 85233-1512
(480) 813-6309
(480) 813-8344
Mailing address
PO BOX 1240, CHANDLER, AZ 85244-1240
(480) 813-6309
(480) 813-8344
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
89310
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700156528
INDIVIDUAL NPI
—
Enumeration date
03/18/2015
Last updated
03/18/2015
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