Organization
VIGILANT ANESTHESIOLOGY, LLC
Active
Organization
VIGILANT ANESTHESIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MIELCAREK MD (OWNER)
(602) 790-7190
Entity
Organization
Contact information
Practice address
4611 E SHEA BLVD STE 230, PHOENIX, AZ 85028-4259
(602) 513-8133
Mailing address
4100 INTERNATIONAL PLZ STE 600, FORT WORTH, TX 76109-4823
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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