Graduated: 2025
NPI: 1700647542
Practice Locations (2)
NORTHEASTERN ANESTHESIA PLLC
101 CIVIC CTR LN
LAKE HAVASU CITY, AZ 864035607
9288558185
NORTHEASTERN ANESTHESIA PLLC
2200 E SHOW LOW LAKE RD
SHOW LOW, AZ 859017831
9285374375
Source: CMS National Downloadable File, September 2026.