Organization
TRANQUILIZED ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART M. SHELLENBERGER CRNA (SOLE MEMBER)
(480) 818-3191
Entity
Organization
Contact information
Practice address
5880 S HOSPITAL DR, GLOBE, AZ 85501-9447
(602) 273-6770
(602) 889-0483
Mailing address
PO BOX 29211, PHOENIX, AZ 85038-9211
(602) 273-6770
(602) 889-0483
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0851
AZ
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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