Healthcare Provider Details

I. General information

NPI: 1679486609
Provider Name (Legal Business Name): LOOKOUT MOUNTAIN ANESTHESIOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7330 N 99TH AVE STE 100
GLENDALE AZ
85307-3016
US

IV. Provider business mailing address

13236 N 7TH ST STE 4-207
PHOENIX AZ
85022-5308
US

V. Phone/Fax

Practice location:
  • Phone: 623-888-5500
  • Fax:
Mailing address:
  • Phone: 602-456-9093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY D SWEATLOCK
Title or Position: SOLE MEMBER
Credential: MD
Phone: 602-456-9093