SONORAN SURGICAL PLLC NPI 1306249420

NPI Information

  • NPI: 1306249420
  • Provider Name: SONORAN SURGICAL PLLC
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • Address: 2502 S COTTONWOOD DR
    TEMPE, AZ
    ZIP 85282
  • Phone: (480) 376-4494

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NPI Details

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
1363AS0400XPhysician AssistantSurgical5499ARIZONAYes

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: 11/21/2025

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