Ips of Phoenix LLC

NPI #1740422732 in Glendale, Arizona

Provider Information

NPI Number
1740422732
Entity Type
Organization
Organization Name
Ips of Phoenix LLC
Primary Specialty
Anesthesiology
Enumeration Date
Apr 6, 2009
Last Updated
Jun 29, 2011

Practice Location

Address
16222 N 59TH AVE
Address 2
SUITE A-100
State
Arizona
ZIP Code
85306-1701
Phone
(941) 360-1566

Authorized Official

Name
CARL R. NOBACK, MD
Title
OWNER
Phone
(941) 360-1566

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered
Anesthesiology

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