SUN LAKES HEALTH CARE PC NPI 1568641314

NPI Information

SUN LAKES HEALTH CARE, PC is an adult medicine family medicine in Sun Lakes, AZ. The provider is definition to come. SUN LAKES HEALTH CARE, PC NPI is 1568641314. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10440 E RIGGS RD
SUITE 170
SUN LAKES, AZ
ZIP 85248-751
Phone: (480) 802-3433
Fax: (480) 802-3439

The provider's authorized official is Stephen H Cloar .
The authorized official title is Office Manager and has the following contact phone number (480) 802-3433.

The CLIA number assigned to this NPI record is 03D0928077 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/29/2007 and was last updated on 10/29/2007.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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