| NPI | 1164013900 |
|---|---|
| Former Legal Business Name | AZ INFUSION CENTER PLLC |
| Entity Type | Organization |
| Authorized Contact | ANTONY K WAWERU Administrator 602-325-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2024-03-15 |