Organization
AGAVE MATRIX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
POLLY POLLMAN (ADMIN)
(602) 582-5233
Entity
Organization
Contact information
Practice address
1100 S DOBSON RD STE 204, CHANDLER, AZ 85286-6160
(602) 582-5233
Mailing address
2801 CENTERVILLE ROAD, PMB 650, WILMINGTON, DE 19808
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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