# MPMD ANESTHESIOLOGY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801434535
- **Authorized official:** MARYANNE PHILLIPS MD (OWNER)
- **Authorized official phone:** (702) 860-8965

## Contact information

- **Practice address:** 1701 WELLNESS WAY STE 202, LAS VEGAS, NV 89106-4146
- **Practice address phone:** (702) 310-9110
- **Mailing address:** 10620 SOUTHERN HIGHLANDS PKWY \# 110-250, LAS VEGAS, NV 89141-4371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2019
- **Last updated:** 12/12/2019