BLOSSOMING LOTUS

GILBERT, AZ
NPI1801282009
Entity TypeOrganization
Authorized ContactCLAIRE S KAURA
Anesthesiologist
480-507-2961
Organization Subpart ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: AZ  42073)
Enumeration Date2015-04-14
Last Update Date2015-05-04
Business Address
BLOSSOMING LOTUS
428 S GILBERT RD STE 115
GILBERT, AZ 85296-2262
Phone number: 480-507-2961
Mailing Address
BLOSSOMING LOTUS
PO BOX 1847
GILBERT, AZ 85299-1847
Phone number: 480-507-2961
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