Organization · NPI-2

Galaxy Anesthesia Services, LLC

Anesthesiology · Peoria, AZ

NPI number1346851276

StatusActive

Last updated in NPPESAug 13, 2020

Details

NPI: 1346851276
Entity type: Organization (NPI-2)
Legal business name: Galaxy Anesthesia Services, LLC
Organization subpart: No
Enumeration date: Aug 13, 2020
Certification date: Aug 13, 2020
Last updated: Aug 13, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207L00000X	Anesthesiology	–	–	Yes
207LP2900X	Anesthesiology, Pain Medicine	–	–
207LP3000X	Anesthesiology, Pediatric Anesthesiology	–	–

Practice location

13660 N 94th Dr
D-1
Peoria, AZ 85381-8538

Phone 623-230-2912 · Fax 602-726-3605

Mailing address

7558 W Thunderbird Rd
Suite 1-623
Peoria, AZ 85381-4836

Phone 623-230-2912

Authorized official

Keith Bangart
Manager
6232302912

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