Organization
BRIGHT LINE ANESTHESIOLOGY CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL CHOW CRNA (PRESIDENT)
(208) 406-1727
Entity
Organization
Contact information
Practice address
10810 N TATUM BLVD STE 102718, PHOENIX, AZ 85028-6055
(602) 935-5884
Mailing address
10810 N TATUM BLVD STE 102718, PHOENIX, AZ 85028-6055
(602) 935-5884
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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