Organization
SUNROSE ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOELDRIDGE MCCLAIN M.D. (SOLE MEMBER)
(623) 974-9571
Entity
Organization
Contact information
Practice address
12361 W BOLA DR STE 107, SURPRISE, AZ 85378-9021
(623) 974-9571
(623) 974-9741
Mailing address
12361 W BOLA DR STE 107, SURPRISE, AZ 85378-9021
(623) 974-9571
(623) 974-9741
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30909
AZ
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228037
—
AZ
Enumeration date
02/26/2008
Last updated
07/21/2022
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