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1346718582
IVY LEAGUE ANESTHESIA PLLC
PHOENIX, AZ
NPI
1346718582
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Entity Type
Organization
Authorized Contact
SAMEH ASSAD
Sole Member
602-405-9985
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
Enumeration Date
2018-11-06
Last Update Date
2018-11-06
Business Address
IVY LEAGUE ANESTHESIA PLLC
7878 N 16TH ST STE 250
PHOENIX, AZ 85020-4478
Phone number: 602-308-7802
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Mailing Address
IVY LEAGUE ANESTHESIA PLLC
7878 N 16TH ST STE 250
PHOENIX, AZ 85020-4478
Phone number: 602-308-7802
Copy
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