Organization
SA2, LLC
Active
Organization
SA2, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MOORE (CEO)
(480) 789-9718
Entity
Organization
Contact information
Practice address
4025 W CHANDLER BLVD STE 1, CHANDLER, AZ 85226-3771
(480) 789-9718
Mailing address
109 E 17TH ST STE 450, CHEYENNE, WY 82001-4543
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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