Individual
ALEXANDER PHILIP VASEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-2000
Mailing address
8944 W ALDA WAY, PEORIA, AZ 85382-1004
(253) 324-9034
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
151133
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
300668
AZ
Other
Enumeration date
09/27/2023
Last updated
03/01/2024
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