Sun Arizona Medical Group P.c. | |
13943 N 91st Ave Ste A102 Peoria AZ 85381-3688 | |
(480) 372-5081 | |
(480) 398-7618 |
Full Name | Sun Arizona Medical Group P.c. |
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Speciality | Internal Medicine |
Location | 13943 N 91st Ave Ste A102, Peoria, Arizona |
Authorized Official Name and Position | Jasmine Sra (PHYSICIAN) |
Authorized Official Contact | 4803725081 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sun Arizona Medical Group P.c. 13943 N 91st Ave Ste A102 Peoria AZ 85381-3688 Ph: (480) 372-5081 | Sun Arizona Medical Group P.c. 13943 N 91st Ave Ste A102 Peoria AZ 85381-3688 Ph: (480) 372-5081 |
NPI Number | 1982005328 |
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Provider Enumeration Date | 09/04/2014 |
Last Update Date | 12/04/2024 |
Medicare PECOS PAC ID | 2062633365 |
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Medicare Enrollment ID | O20141030001852 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982005328 | NPI | - | NPPES |
3323482 | Other | AZ | CIGNA/GREAT WEST |
944482 | Other | AZ | AHCCCS/MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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