Organization
PEW ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHALLEN WAYCHOFF (CEO)
(480) 331-4222
Entity
Organization
Contact information
Practice address
3329 E BELL RD, SUITE A1-A5, PHOENIX, AZ 85032-2756
(480) 331-4222
Mailing address
PO BOX 39179, PHOENIX, AZ 85069-9179
(602) 308-7829
(602) 343-7973
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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