Organization
FOUR PEAKS ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CROUSE (MANAGER)
(999) 999-9999
Entity
Organization
Contact information
Practice address
3850 E BASELINE RD STE 117, MESA, AZ 85206-4404
(999) 999-9999
Mailing address
3850 E BASELINE RD STE 117, MESA, AZ 85206-4404
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/03/2018
Last updated
06/18/2019
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