Organization
TYT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA S ROSE CRNA (PRESIDENT)
(480) 818-8617
Entity
Organization
Contact information
Practice address
3135 E LINCOLN DR STE B, PHOENIX, AZ 85016-2301
(480) 418-1626
Mailing address
24200 N ALMA SCHOOL RD UNIT 8, SCOTTSDALE, AZ 85255-3001
(480) 818-8617
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
1129382
AZ
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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