Provider Demographics
NPI:1497178057
Name:AZ ANESTHESIOLOGY ASSOCIATES, LLC
Entity Type:Organization
Organization Name:AZ ANESTHESIOLOGY ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DREW
Authorized Official - Middle Name:CLIFFORD
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-299-8787
Mailing Address - Street 1:14050 N 83RD AVE
Mailing Address - Street 2:SUITE #290
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-5638
Mailing Address - Country:US
Mailing Address - Phone:623-299-8787
Mailing Address - Fax:
Practice Address - Street 1:14050 N 83RD AVE
Practice Address - Street 2:SUITE #290
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-5638
Practice Address - Country:US
Practice Address - Phone:623-299-8787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-31
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty