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NPI Code Detail

MEDICARE: GLOBAL ANESTHESIA LLC

MEDICARE: GLOBAL ANESTHESIA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician33804AZ
2207L00000XAnesthesiology Physician37002AZ

General Provider Information

NPI Number : 1174753396
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLOBAL ANESTHESIA LLC
Provider Business Mailing Address
First Line : PO BOX 39179
Second Line :
City : PHOENIX
State : AZ
Zip : 85069-9179
Country : US
Telephone Number : 602-395-0718
Fax Number : 602-277-8146
Provider Business Practice Location Address
First Line : 6245 N 16TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-1706
Country : US
Telephone Number : 602-792-5769
Fax Number : 602-253-4273
Authorized Official
Title or Position : CREDENTIALING ADMINISTRATOR
Name : MRS. BOBBIE RONSMAN
Credential :
Telephone Number : 602-308-7815
Provider Enumeration Date : 07/22/2009
Last Update Date : 07/06/2010

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Directions to “GLOBAL ANESTHESIA LLC ” Practice Location

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