Healthcare Provider Details

I. General information

NPI: 1467725499
Provider Name (Legal Business Name): SOUTHWEST ANESTHESIOLOGY BUSINESS ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2012
Last Update Date: 09/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3533 CANYON DE FLORES STE A
SIERRA VISTA AZ
85650-5366
US

IV. Provider business mailing address

PO BOX 13385
SCOTTSDALE AZ
85267-3385
US

V. Phone/Fax

Practice location:
  • Phone: 520-227-4355
  • Fax:
Mailing address:
  • Phone: 480-609-9300
  • Fax: 480-609-9350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number29164
License Number StateAZ

VIII. Authorized Official

Name: DR. CAROLYN M SABA
Title or Position: OWNER
Credential: M.D.
Phone: 520-515-9751