Organization
GATEWAY ANESTHESIA AND PAIN ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW T. RANSON (OWNER)
(480) 924-7091
Entity
Organization
Contact information
Practice address
4838 E BASELINE RD, SUITE 108, MESA, AZ 85206-4672
(480) 981-2400
(480) 981-2407
Mailing address
4838 E BASELINE RD, SUITE 108, MESA, AZ 85206-4672
(480) 981-2400
(480) 981-2407
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
AZ
208VP0000X
Pain Medicine Physician
Primary
—
AZ
367500000X
Certified Registered Nurse Anesthetist
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190514
—
AZ
Enumeration date
02/05/2007
Last updated
10/23/2019
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