Phoenix Anesthesia PA

NPI #1184889842 in Fort Smith, Arkansas

Provider Information

NPI Number: 1184889842
Entity Type: Organization
Organization Name: Phoenix Anesthesia PA
Primary Specialty: Anesthesiology
Enumeration Date: Jul 22, 2008
Last Updated: May 20, 2009

Practice Location

Address: 3601 WE KNIGHT DR
City: Fort Smith
State: Arkansas
ZIP Code: 72903-6249
Phone: (479) 709-6702

Authorized Official

Name: DR. MARK TEETER, M.D.
Title: PRESIDENT
Phone: (479) 785-2555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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