Provider Demographics
NPI:1427510536
Name:ANESTHESIA MOBILE SERVICES PC
Entity type:Organization
Organization Name:ANESTHESIA MOBILE SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARNA
Authorized Official - Middle Name:R
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:309-531-5447
Mailing Address - Street 1:14301 N 87TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-3687
Mailing Address - Country:US
Mailing Address - Phone:480-351-8188
Mailing Address - Fax:480-351-8187
Practice Address - Street 1:14301 N 87TH ST STE 102
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-3687
Practice Address - Country:US
Practice Address - Phone:480-351-8188
Practice Address - Fax:480-351-8187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-05
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty