Provider Demographics
NPI:1184232860
Name:PRECISION ANESTHESIA LLC
Entity type:Organization
Organization Name:PRECISION ANESTHESIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-803-5871
Mailing Address - Street 1:5235 E SOUTHERN AVE STE D106-448
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-3626
Mailing Address - Country:US
Mailing Address - Phone:602-803-5871
Mailing Address - Fax:
Practice Address - Street 1:5235 E SOUTHERN AVE STE D106-448
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-3626
Practice Address - Country:US
Practice Address - Phone:760-969-2419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-17
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1134654874OtherNPI
1083010730OtherNPI
1659559722OtherNPI
1194272468OtherNPI
1205206190OtherNPI
1093051674OtherNPI
1518101534OtherNPI