Organization
ANESTHESIA SERVICES OF ARIZONA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MELISSA TIBEDO (NATIONAL PE DIRECTOR)
(865) 985-7130
Entity
Organization
Contact information
Practice address
5700 E HIGHWAY 90, SIERRA VISTA, AZ 85635-9110
(520) 263-2000
Mailing address
265 BROOKVIEW CENTRE WAY STE 200, KNOXVILLE, TN 37919-4052
(865) 985-7114
(865) 692-5867
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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