Phoenix Anesthesia Associates Pllc

NPI #1023210036 in Mesa, Arizona

Provider Information

NPI Number: 1023210036
Entity Type: Organization
Organization Name: Phoenix Anesthesia Associates Pllc
Primary Specialty: Anesthesiology
Enumeration Date: Jun 1, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4002 E MAIN ST
Address 2: SUITE 1
City: Mesa
State: Arizona
ZIP Code: 85205-8612
Phone: (480) 981-9151

Authorized Official

Name: RANDY LARGE, D.O.
Title: MEMBER
Phone: (480) 981-9151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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