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Organization

IVY ANESTHESIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMEH A ASSAD MD (PHYSICIAN)
(480) 425-2160
Entity
Organization

Contact information

Practice address
7303 E LA JUNTA RD, SCOTTSDALE, AZ 85255-2806
(480) 425-2160
(480) 351-8797
Mailing address
PO BOX 41150, MESA, AZ 85274-1150
(480) 425-2160
(480) 351-8797

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34025
ARIZONA MEDICAL BOARD
AZ
Enumeration date
08/27/2019
Last updated
09/30/2020
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