LIE ADI DARMAWAN

SCOTTSDALE, AZ
NPI1417845819
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ  327086)
Enumeration Date2025-06-25
Last Update Date2025-11-19
Business Address
LIE ADI DARMAWAN DNP
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259-5499
Phone number: 480-301-8000
Mailing Address
LIE ADI DARMAWAN DNP
PO BOX 860912
MINNEAPOLIS, MN 55486-0912
Phone number: 480-301-8000