Organization
ANESTHESIA SERVICES OF ARIZONA PC
Active
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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