| 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. |
|---|---|
| Speciality | Internal Medicine |
| Location | 13943 N 91st Ave Ste A102, Peoria, Arizona |
| Authorized Official Name and Position | Jasmine Sra (CEO) |
| Authorized Official Contact | 6234518511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/04/2014 |
| Last Update Date | 09/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982005328 | NPI | - | NPPES |
| 944482 | Other | AZ | AHCCCS/MEDICAID |
| 3323482 | Other | AZ | CIGNA/GREAT WEST |
| Z171015 | Other | AZ | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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