Organization
ARIZONA ANESTHESIA CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEORA J. BREWER (CREDENTIALING MANAGER WEST REGION)
(303) 438-3999
Entity
Organization
Contact information
Practice address
18205 N 51ST AVE, STE. 109, GLENDALE, AZ 85308-1490
(602) 547-1400
(602) 547-1401
Mailing address
9127 W RUSSELL RD STE 110, LAS VEGAS, NV 89148-1253
(702) 878-0070
(702) 209-2064
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291271
—
AZ
Enumeration date
05/03/2007
Last updated
01/27/2020
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