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14362 N Frank Lloyd Wright Blvd Suite B109 Scottsdale AZ 85260-8846 | |
| (602) 308-8383 | |
| (480) 699-6413 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 14362 N Frank Lloyd Wright Blvd, Scottsdale, Arizona |
| Authorized Official Name and Position | Jerry Don Sanstead (MEMBER) |
| Authorized Official Contact | 6023088383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1063 N Opal Mesa AZ 85207-2275 Ph: (602) 308-8383 | 14362 N Frank Lloyd Wright Blvd Suite B109 Scottsdale AZ 85260-8846 Ph: (602) 308-8383 |
| NPI Number | 1063682524 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 05/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063682524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 07625378E (Arizona) | Primary |
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