Organization
BINGHAM ANESTHESIA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA KOZIOL (CREDENTIALING)
(602) 395-0718
Entity
Organization
Contact information
Practice address
3929 E BELL RD, PHOENIX, AZ 85032-2112
(602) 395-0718
Mailing address
PO BOX 39179, PHOENIX, AZ 85069-9179
(602) 395-0718
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AZ
Enumeration date
08/26/2022
Last updated
08/26/2022
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