Organization
CANYON STATE ANESTHESIOLOGISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOREEN KOPPULA M.D. (PRESIDENT)
(480) 421-1014
Entity
Organization
Contact information
Practice address
8102 E MCDOWELL RD, SUITE 2A, SCOTTSDALE, AZ 85257-3809
(480) 421-1014
(480) 421-9697
Mailing address
8102 E MCDOWELL RD, SUITE 2A, SCOTTSDALE, AZ 85257-3809
(480) 421-1014
(480) 421-9697
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/01/2005
Last updated
01/28/2008
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