Organization · NPI-2
Anesthesia Of Tempe
· Tempe, AZ
NPI number1700662012
StatusActive
Last updated in NPPESSep 1, 2023
Details
- NPI
- 1700662012
- Entity type
- Organization (NPI-2)
- Legal business name
- Anesthesia Of Tempe
- Organization subpart
- No
- Enumeration date
- Sep 1, 2023
- Last updated
- Sep 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0000X | – | – | Yes | |
| 207Q00000X | Family Medicine | – | – |
Practice location
1001 E Warner RdSte #103
Tempe, AZ 85284
Phone 480-597-4321 · Fax 833-559-0886
Mailing address
2919 S Ellsworth RdSte # 109
Mesa, AZ 85212
Phone 480-597-4321 · Fax 833-559-0886
Authorized official
Jamal Dabbah
Clinic Co-Owner
4805974321
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