Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Jul 2, 2006
License(s)
25IA12586100 (NJ), 35778 (AZ), 036-168010 (IL), 35778 (AZ)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 29211 | Phoenix, AZ 85038-9211 | 602-273-6770 |
| LOCATION | 4441 E MCDOWELL RD SUITE 101 | Phoenix, AZ 85008-4503 | 602-273-6770 |
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