| NPI | 1912654393 |
|---|---|
| Doing Business As | SALT RIVER ANESTHESIA LLC |
| Entity Type | Organization |
| Authorized Contact | VANESSA KOZIOL Credentialing 602-395-0718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-03-07 |