Azgasgirl Llc

NPI 1003097015 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1003097015
Enumeration Date 11/19/2007
Last Updated 05/23/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LAURA R. LAURA
Position SOLE MEMBER
Phone (602) 273-6770
Fax (602) 889-0489
Practice Location
2200 E SHOW LOW LAKE RD
SHOW LOW AZ, 85901-7831, US
Phone (602) 273-6770
Fax (602) 889-0489
Business Location
PO BOX 29211
PHOENIX AZ, 85038-9211, US
Phone (602) 273-6770
Fax (602) 889-0489
Toxanomy
Taxonomy Code 367500000X
License State Arizona
License Number CRNA0268
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According to our database, Azgasgirl Llc NPI is 1003097015, taxonomy code is 367500000X and license number is CRNA0268, license state is located at Arizona. Azgasgirl Llc physically located at 2200 E Show Low Lake Rd, Show Low AZ, 85901-7831. NPI Number 1033115704 has the healthcare provider type.

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1003097015 NPI number is provided on an as is basis without warranty of any kind. 1003097015 is maintained by the National Plan & Provider Enumeration System. The contents of Azgasgirl Llc are for informational purposes only.