SUN CITY WEST MEDICAL ASSOCIATES NPI 1528485307

NPI Information

SUN CITY WEST MEDICAL ASSOCIATES is a non pharmacy dispensing site in Surprise, AZ. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) SUN CITY WEST MEDICAL ASSOCIATES NPI is 1528485307. The provider is registered as an organization entity type.
The provider Is Doing Business As Grand Medical Associates.

The provider's business location address is:

14674 W MOUNTAIN VIEW BLVD
SUITE 200
SURPRISE, AZ
ZIP 85374-706
Phone: (623) 544-6860

The provider's authorized official is Kenny Heine .
The authorized official title is Vp Of Operations and has the following contact phone number (858) 964-1506.

The CLIA number assigned to this NPI record is 03D1079664 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/18/2014 and was last updated on 5/13/2016.

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:

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