Organization
MARICOPA ANESTHESIA LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELVIN R. STRADLING CRNA (PRESIDENT)
(480) 202-4515
Entity
Organization
Contact information
Practice address
160 W UNIVERSITY DR STE 1, MESA, AZ 85201-5833
(480) 202-4515
Mailing address
2525 W BERYL AVE, PHOENIX, AZ 85021-1606
(480) 202-4515
(602) 938-4954
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0024
AZ
Other
Enumeration date
05/21/2010
Last updated
09/09/2021
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