Organization
OPAL ANESTHESIA, LLC
Active
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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