Organization
KEYSTONE ANESTHESIA MOBILE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENKATESH NARA M.D. (SOLE MEMBER)
(623) 523-9735
Entity
Organization
Contact information
Practice address
6721 N COCOPAS RD, TUCSON, AZ 85718-2533
(623) 523-9735
Mailing address
6721 N COCOPAS RD, TUCSON, AZ 85718-2533
(623) 523-9735
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
32171
AZ
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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