Individual
TYLER J. LEIFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1900 N HIGLEY RD, GILBERT, AZ 85234-1604
(602) 273-6770
(602) 889-0483
Mailing address
PO BOX 29211, PHOENIX, AZ 85038-9211
(602) 273-6770
(602) 889-0483
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN166459
AZ
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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