Organization
SOUTHWEST MATRIX ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC J CHURCH MD (MANAGER)
(480) 265-0890
Entity
Organization
Contact information
Practice address
10810 N TATUM BLVD STE 102302, PHOENIX, AZ 85028-0503
(602) 867-6045
(888) 423-9465
Mailing address
2801 CENTERVILLE ROAD, FIRST FLOOR, PMB 640, WILMINGTON, DE 19808
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
06/11/2019
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