Organization
OPAL ANESTHESIA, LLC
Active
Other names
Opal Anesthesia, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDIE HERNANDEZ (DIRECTOR OF OPERATIONS)
(480) 634-4606
Entity
Organization
Contact information
Practice address
6424 E BROADWAY RD STE 102, MESA, AZ 85206-1750
(480) 634-4606
(480) 452-0582
Mailing address
6424 E BROADWAY RD STE 102, MESA, AZ 85206-1750
(480) 634-4606
(480) 452-0582
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
04/28/2021
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