Organization
ESTRELLA ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARRON S BLAZIC CRNA-MS (OWNER / PRESIDENT)
(623) 512-0047
Entity
Organization
Contact information
Practice address
12556 S 177TH LN, GOODYEAR, AZ 85338-5772
(480) 361-7680
(480) 361-7683
Mailing address
PO BOX 72090, PHOENIX, AZ 85050-1019
(480) 361-7680
(480) 361-7683
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
AZ
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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