Individual
PHUANGUSAR IAMROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4712 E THUNDERHILL PL, PHOENIX, AZ 85044-4902
(623) 512-5172
Mailing address
4712 E THUNDERHILL PL, PHOENIX, AZ 85044-4902
(623) 512-5172
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
080306
AZ
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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