Organization
BCG ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SETH CLARK DPM (MEMBER)
(801) 448-4841
Entity
Organization
Contact information
Practice address
12955 N 145TH AVE, SURPRISE, AZ 85379-4487
(801) 448-4841
Mailing address
12955 N 145TH AVE, SURPRISE, AZ 85379-4487
(801) 448-4841
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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