FOUNTAIN ANESTHESIA, LLC

FLAGSTAFF, AZ
NPI1740900265
Entity TypeOrganization
Authorized ContactANGELA FOUNTAIN
CEO
480-414-1295
Organization Subpart ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
Enumeration Date2022-09-02
Last Update Date2022-12-06
Business Address
FOUNTAIN ANESTHESIA, LLC
5000 E PALOMINO LN UNIT 21
FLAGSTAFF, AZ 86004-7444
Phone number: 480-414-1295
Mailing Address
FOUNTAIN ANESTHESIA, LLC
5000 E PALOMINO LN UNIT 21
FLAGSTAFF, AZ 86004-7444
Phone number: 480-414-1295
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