Organization
SWPT ANESTHESIA PC
Active
Organization
SWPT ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARNA RACENE HARRIS M.D. (CEO/PRESIDENT)
(480) 351-8188
Entity
Organization
Contact information
Practice address
14301 N 87TH ST, SUITE 102, SCOTTSDALE, AZ 85260-3686
(480) 351-8188
(480) 351-8187
Mailing address
14301 N 87TH ST, SUITE 102, SCOTTSDALE, AZ 85260-3686
(480) 351-8188
(480) 351-8187
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
43522
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518071471
NPI INDIVIDUAL
AZ
Enumeration date
01/10/2014
Last updated
04/15/2016
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