Ivy League Anesthesia Pllc

NPI #1346718582 in Phoenix, Arizona

Provider Information

NPI Number: 1346718582
Entity Type: Organization
Organization Name: Ivy League Anesthesia Pllc
Primary Specialty: Anesthesiology
Enumeration Date: Nov 6, 2018
Last Updated: Nov 6, 2018

Practice Location

Address: 7878 N 16TH ST STE 250
City: Phoenix
State: Arizona
ZIP Code: 85020-4478
Phone: (602) 308-7802

Authorized Official

Name: DR. SAMEH ASSAD, MD
Title: SOLE MEMBER
Phone: (602) 405-9985

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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