Organization
PHOENIX ANESTHESIA SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
POPPY WALKER (BUSINESS OFFICE MANAGER)
(325) 660-5535
Entity
Organization
Contact information
Practice address
1615 PETROGLYPH POINT DR, PRESCOTT, AZ 86301-6539
(325) 660-5535
Mailing address
5242 W WHISPERING WIND DR, GLENDALE, AZ 85310-2908
(325) 660-5535
(325) 692-6030
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
12/09/2020
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