Provider Demographics
NPI:1427889880
Name:PHOENICIAN ANESTHESIA
Entity type:Organization
Organization Name:PHOENICIAN ANESTHESIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-542-7000
Mailing Address - Street 1:950 N MCQUEEN RD
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-8126
Mailing Address - Country:US
Mailing Address - Phone:480-847-1800
Mailing Address - Fax:
Practice Address - Street 1:950 N MCQUEEN RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-8126
Practice Address - Country:US
Practice Address - Phone:480-542-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-08
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty