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Organization

GREEN STATES ANESTHESIA PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NORA BRADY (MANAGER)
(702) 581-2819
Entity
Organization

Contact information

Practice address
1220 CARAWAY CT STE 1050, UPPER MARLBORO, MD 20774-5338
(800) 783-8584
(800) 783-8584
Mailing address
3343 E INDIGO BAY CT, GILBERT, AZ 85234-1737
(702) 581-2819
(866) 329-8262

Taxonomy

Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary

Other

Enumeration date
07/24/2018
Last updated
11/21/2022
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