| NPI | 1952909897 | 
|---|---|
| Doing Business As | OPAL ANESTHESIA, LLC | 
| Entity Type | Organization | 
| Authorized Contact | BRANDIE HERNANDEZ Director Of Operations 480-634-4606  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology | 
| Enumeration Date | 2020-10-13 | 
| Last Update Date | 2021-04-28 |