MEDICARE: CANYON STATE ANESTHESIOLOGISTS PC

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
1	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1265439525
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CANYON STATE ANESTHESIOLOGISTS PC

Provider Business Mailing Address
First Line	:	8102 E MCDOWELL RD
Second Line	:	SUITE 2A
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85257-3809
Country	:	US
Telephone Number	:	480-421-1014
Fax Number	:	480-421-9697

Provider Business Practice Location Address
First Line	:	8102 E MCDOWELL RD
Second Line	:	SUITE 2A
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85257-3809
Country	:	US
Telephone Number	:	480-421-1014
Fax Number	:	480-421-9697

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MOREEN KOPPULA
Credential	:	M.D.
Telephone Number	:	480-421-1014

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	01/28/2008

Similar Medicare Providers

1316943194 — MOREEN KOPPULA M.D.
Practice Location Address:

8102 E MCDOWELL RD , STE 2C
SCOTTSDALE, AZ
85257-3809

Practice Phone: 480-272-8411
Practice Fax: 480-361-1435

1013071596 — DANIEL D RODRIGUEZ M.D.
Practice Location Address:

8102 E MCDOWELL RD , SUITE 2A
SCOTTSDALE, AZ
85257-3809

Practice Phone: 480-421-1014
Practice Fax: 480-421-9697

1982884185 — FAMILY MEDICAL WALK IN CENTER PC
Practice Location Address:

8102 E MCDOWELL RD , SUITE 2A
SCOTTSDALE, AZ
85257-3809

Practice Phone: 602-273-6770
Practice Fax: 602-889-0489

1013871268 — RELIEF PSYCHIATRY OF ARIZONA, PLLC
Practice Location Address:

2501 N HAYDEN RD STE 103
SCOTTSDALE, AZ
85257-2326

Practice Phone: 602-892-0468
Practice Fax: 602-563-8929

1578427621 — REBECCA LYNN MORGAN RD, LN
Practice Location Address:

1301 N SCOTTSDALE RD APT 4056
SCOTTSDALE, AZ
85257-3486

Practice Phone: 605-939-4142
Practice Fax:

1922962075 — STEPHANIE BEAUSOLEIL LMSW
Practice Location Address:

1375 N SCOTTSDALE RD STE 200
SCOTTSDALE, AZ
85257-3429

Practice Phone: 480-877-9284
Practice Fax:

Directions to “CANYON STATE ANESTHESIOLOGISTS PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.