Organization
WESTERN AZ ANESTHESIA & PAIN MANAGEMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL T SUTERA (OWNER/PHYSICIAN)
(928) 542-9103
Entity
Organization
Contact information
Practice address
5300 HWY 95 STE I, FORT MOHAVE, AZ 86426-9251
(928) 361-9991
Mailing address
2917 CAMINO DEL RIO, BULLHEAD CITY, AZ 86442-7824
(928) 542-9103
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
10/11/2024
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