Organization
MARANATHA ANESTHESIA, PLLC
Active
Organization
MARANATHA ANESTHESIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS BARRY MILLER M.D. (STATUTORY AGENT)
(480) 512-3970
Entity
Organization
Contact information
Practice address
1500 S DOBSON RD, SUITE 203, MESA, AZ 85202-4713
(480) 512-3970
(480) 512-5486
Mailing address
1500 S DOBSON RD, SUITE 203, MESA, AZ 85202-4713
(480) 512-3970
(480) 512-5486
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21508
AZ
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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