SONORAN SURGICAL PLLC NPI 1306249420

NPI Information

NPI: 1306249420
Provider Name: SONORAN SURGICAL PLLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
2502 S COTTONWOOD DR
TEMPE, AZ
ZIP 85282
Phone: (480) 376-4494
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SONORAN SURGICAL PLLC is a surgical physician assistant in Tempe, AZ. SONORAN SURGICAL PLLC NPI is 1306249420. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2502 S COTTONWOOD DR
TEMPE, AZ
ZIP 85282-071
Phone: (480) 376-4494

The provider's authorized official is Ethan E Meyer .
The authorized official title is Physician Assistant and has the following contact phone number (480) 376-4494.

The enumeration date for this NPI number is 10/2/2014 and was last updated on 10/2/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	5499	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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