Individual
MR. FREDERICK SCOTT IMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9023 E DESERT COVE AVE STE 101, SCOTTSDALE, AZ 85260-6779
(480) 407-6400
(480) 407-6520
Mailing address
17505 N 79TH AVE STE 304A, GLENDALE, AZ 85308-8729
(480) 407-6400
(480) 407-6520
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0698
AZ
Other
Enumeration date
09/23/2008
Last updated
09/08/2020
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