Maranatha Anesthesia, Pllc

NPI #1235391657 in Mesa, Arizona

Provider Information

NPI Number: 1235391657
Entity Type: Organization
Organization Name: Maranatha Anesthesia, Pllc
Primary Specialty: Anesthesiology
Enumeration Date: Jun 26, 2008
Last Updated: Jun 26, 2008

Practice Location

Address: 1500 S DOBSON RD
Address 2: SUITE 203
City: Mesa
State: Arizona
ZIP Code: 85202-4713
Phone: (480) 512-3970

Authorized Official

Name: DR. THOMAS BARRY MILLER, M.D.
Title: STATUTORY AGENT
Phone: (480) 512-3970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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