Organization
NORTH GATE ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MARLER CRNA (PRESIDENT)
(480) 323-5131
Entity
Organization
Contact information
Practice address
1780 E FLORENCE BLVD STE 104, CASA GRANDE, AZ 85122-4782
(480) 323-5131
Mailing address
3527 E MALLORY CIR, MESA, AZ 85213-1744
(480) 323-5131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-83704
NM
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1208
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CRNA01424
CRNA
NM
Enumeration date
11/08/2017
Last updated
02/14/2023
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