Organization
LUNA ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE CORONADO (ADMINISTRATOR)
(623) 341-3636
Entity
Organization
Contact information
Practice address
9460 W YEARLING RD, PEORIA, AZ 85383-1320
(623) 341-3636
Mailing address
9460 W YEARLING RD, PEORIA, AZ 85383-1320
(623) 341-3636
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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