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General NPI Number Information
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NPI Number | 1619562006
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Entity Type | Organization
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Legal Business Name | DESERT SUNRISE ANESTHESIA PLLC
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Dates
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Enumeration Date | 03/08/2021
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 2121 N CRAYCROFT RD BLDG 8
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City | TUCSON
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State | AZ
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Zip | 85712-2845
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Country | US
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Telephone | 520-230-7156
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Fax |
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Provider Business Mailing Address
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Address Line | 1517 N WILMOT RD # 162
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City | TUCSON
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State | AZ
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Zip | 85712-4410
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Country | US
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Telephone | 520-230-7156
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | NEESANN MARIETTA
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Credential |
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Telephone | 520-230-7156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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