| Sun Meadow Family Medicine Inc | |
|
1455 W Chandler Blvd Suite B-11 Chandler AZ 85224-6177 | |
| (480) 917-9208 | |
| (480) 814-7443 |
| Full Name | Sun Meadow Family Medicine Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1455 W Chandler Blvd, Chandler, Arizona |
| Authorized Official Name and Position | Susan Briones (PRESIDENT) |
| Authorized Official Contact | 4809179208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Meadow Family Medicine Inc 1455 W Chandler Blvd Suite B-11 Chandler AZ 85224-6177 Ph: (480) 917-9208 | Sun Meadow Family Medicine Inc 1455 W Chandler Blvd Suite B-11 Chandler AZ 85224-6177 Ph: (480) 917-9208 |
| NPI Number | 1073771721 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 10/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073771721 | NPI | - | NPPES |
| 178815 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22101 (Arizona) | Primary |
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