Organization
IMUS SLEEP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK SCOTT IMUS CRNA (SOLE MEMBER)
(480) 570-9766
Entity
Organization
Contact information
Practice address
4022 E PRESIDIO ST, MESA, AZ 85215-1113
(480) 296-7642
(480) 296-7643
Mailing address
PO BOX 20610, MESA, AZ 85277-0610
(480) 296-7642
(480) 296-7643
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0698
AZ
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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