Organization
PHOENIX ANESTHESIA ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY LARGE D.O. (MEMBER)
(480) 981-9151
Entity
Organization
Contact information
Practice address
4002 E MAIN ST, SUITE 1, MESA, AZ 85205-8612
(480) 981-9151
(480) 324-5459
Mailing address
PO BOX 40670, MESA, AZ 85274-0670
(480) 981-9151
(480) 324-5459
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
3086
AZ
Other
Enumeration date
06/01/2007
Last updated
08/22/2020
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