Organization
EPIX ANESTHESIA OF ARIZONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH PRUITT (OWNER)
(678) 580-1349
Entity
Organization
Contact information
Practice address
1080 HOLCOMB BRIDGE RD, BUILDING 100 SUITE 330, ROSWELL, GA 30076-4346
(678) 580-1349
(770) 559-1231
Mailing address
1080 HOLCOMB BRIDGE RD, BUILDING 100 SUITE 330, ROSWELL, GA 30076-4346
(678) 580-1349
(770) 559-1231
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/08/2014
Last updated
01/15/2019
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