Organization
SALT RIVER ANESTHESIA LLC
Active
Other names
Salt River Anesthesia LLC
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA KOZIOL (CREDENTIALING)
(602) 395-0718
Entity
Organization
Contact information
Practice address
7600 N 15TH ST STE 290, PHOENIX, AZ 85020-4336
(602) 395-0718
Mailing address
PO BOX 39179, PHOENIX, AZ 85069-9179
(602) 395-0718
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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