ERIC JULIYANTO RUSAIDY

SCOTTSDALE, AZ
NPI1285483420
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ  324045)
Enumeration Date2024-05-17
Last Update Date2025-08-27
Business Address
ERIC JULIYANTO RUSAIDY CRNA
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259-5499
Phone number: 480-301-8000
Mailing Address
ERIC JULIYANTO RUSAIDY CRNA
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259-5499
Phone number: 480-301-8000