Individual
OWEN MCRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6644 E BAYWOOD AVE, MESA, AZ 85206-1747
(480) 321-2000
Mailing address
1550 N STAPLEY DR UNIT 1, MESA, AZ 85203-3701
(480) 980-6176
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
330492
AZ
367500000X
Certified Registered Nurse Anesthetist
RN176023
AZ
Other
Enumeration date
10/06/2025
Last updated
12/09/2025
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