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Alden Blake Daniels

Anesthesiology

Allopathic & Osteopathic Physicians

6200 N La Cholla Blvd, Tucson, AZ 85741-3529

PECOS Enrollment

This provider is enrolled in PECOS as ALDEN DANIELS.

Based on the most recent information from CMS, provider Alden Blake Daniels is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1093219651
Provider Type
Individual
Full Name
Daniels, Alden Blake
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/20/2018
Last Updated
7/15/2025

Contact Information

Practice Location

6200 N La Cholla Blvd, Tucson, AZ 85741-3529

(520) 742-9000

Unlisted Fax

Mailing Location

6027 Walnut Grove Rd Ste 306, Memphis, TN 38120-2129

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License ME173739 Florida
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Alden Blake Daniels

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Nichols, Kathleen P

Morales, Monnica Catherine

Goldstein, Robert B

Wagnon, William Glyn

Deng, Cathy Wu

Professional Anesthesia Services Llc

Catalina Anesthesiology Pc

Santa Rita Anesthesia Services Pc

Cloud, Patrick M

Buazza, Ahmed