MARANATHA ANESTHESIA, PLLC
Anesthesiologist Assistant at Dobson Rd, Mesa, AZ

License number
Arizona 21508
Category
Osteopathic Medicine
Type
Anesthesiology
Owner
Name: DR. THOMAS BARRY MILLER M.D.
Title: STATUTORY AGENT
Phone: (480) 512-3970
Address
Address
1500 S Dobson Rd SUITE 203, Mesa, AZ 85202
National Provider ID: 1235391657
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARANATHA ANESTHESIA, PLLC

1500 S Dobson Rd #203, Mesa, AZ 85202

Registration:
Jun 25, 2008
State ID:
P-1459880-0
Expiration:
PERPETUAL
Member:
T Berry Miller (Member), 14610 S Presario Trl, Phoenix, AZ 85048 (Physical)

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