| NPI | 1962409185 |
|---|---|
| Former Legal Business Name | PRESCOTT ANESTHESIA LLC |
| Entity Type | Organization |
| Authorized Contact | PAUL L BRAITHWAITE Administrative Member 928-771-5232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2022-07-21 |