Organization
MALLARO ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
POPPY WALKER MBA (PRACTICE ADMINISTRATOR)
(325) 675-6466
Entity
Organization
Contact information
Practice address
1615 PETROGLYPH POINT DR, PRESCOTT, AZ 86301-6539
(325) 675-6466
(325) 692-6030
Mailing address
3301 S 14TH ST STE 16180, ABILENE, TX 79605-5015
(325) 675-6466
(325) 692-6030
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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