| NPI | 1225830466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DAWSON Owner 602-488-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-04-02 |