Organization
CONNIE BRUCH-HARRISON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA HENDERSON (MANAGER)
(480) 874-7014
Entity
Organization
Contact information
Practice address
1232 E BROADWAY RD, SUITE 205, TEMPE, AZ 85282-1511
(480) 874-7014
(480) 874-7015
Mailing address
PO BOX 7387, TEMPE, AZ 85281-0013
(480) 874-7014
(480) 874-7015
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1013
AZ
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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