Organization · NPI-2

Acacia Anesthesia, PLLC

Anesthesiology, Critical Care Medicine · Mesa, AZ

NPI number1528258118
StatusActive
Last updated in NPPESDec 14, 2007

Details

NPI
1528258118
Entity type
Organization (NPI-2)
Legal business name
Acacia Anesthesia, PLLC
Organization subpart
No
Enumeration date
Jul 30, 2007
Last updated
Dec 14, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207LC0200X Anesthesiology, Critical Care Medicine––Yes

Practice location

1500 S Dobson Rd
Suite 203
Mesa, AZ 85202-4713

Phone 480-512-5737 · Fax 480-512-5486

Mailing address

1500 S Dobson Rd
Suite 203
Mesa, AZ 85202-4713

Phone 480-512-5737 · Fax 480-512-5486

Authorized official

Efrem Miller
Partner
4808447100

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Anesthesiology, Critical Care Medicine providers in Mesa, AZ