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Organization · Anesthesiology Physician · Goodyear, AZ

NPI
1073608147
Type
Organization (Type 2)
Primary specialty
Anesthesiology Physician (Anesthesiology)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
207L00000X
License number
23460 (AZ)
Enumerated
2006-10-04
Last updated
2008-10-31
Practice location
13555 W Mcdowell Rd, Suite 201b
Goodyear, AZ 85338-2624
(623) 512-4190

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