NPI 1003640442
Mb Anesthesiology LLC
Practice location
- Address
- 20 W 1st St STE 201, Mesa, AZ 85201-6653
- Phone
- (480) 874-7014
- Fax
- (480) 874-7015
- Mailing address
- PO Box 5870, Mesa, AZ 85211-5870
Authorised official
- Name
- Marshall B Bergen
- Title
- Sole Mbr
- Phone
- (480) 874-7013
Registered specialties
Certified Registered Nurse Anesthetist
Primary
Registry record
- NPI
- 1003640442
- Entity type
- Organization
- NPI issued
- 28 Aug 2024
- Record last updated
- 28 Aug 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.