PARADISE ANESTHESIA, PLLC
Anesthesiologist Assistant at Northern Ave, Phoenix, AZ

License number
Arizona 33153
Category
Osteopathic Medicine
Type
Anesthesiology
Owner
Name: LESLIE DIGGES
Title: OFFICE MANAGER
Phone: (602) 395-0718
Address
Address
1715 W Northern Ave SUITE 108, Phoenix, AZ 85021
National Provider ID: 1740216258
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PARADISE ANESTHESIA, PLLC

1715 W Northern Ave #108, Phoenix, AZ 85051

Registration:
Aug 26, 2004
State ID:
P-1150214-6
Expiration:
Perpetual
Members:
Marcie Dyson (Member), 1715 W Northern Ave #108, Phoenix, AZ 85051 (Physical),Mwata Dyson (Member), 1715 W Northern Ave #108, Phoenix, AZ 85051 (Physical)

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