Sunrise Internal Medicine Pc | |
22707 S Ellsworth Rd Ste 105 Queen Creek AZ 85142-6132 | |
(480) 888-1900 | |
(480) 888-1934 |
Full Name | Sunrise Internal Medicine Pc |
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Speciality | Internal Medicine |
Location | 22707 S Ellsworth Rd Ste 105, Queen Creek, Arizona |
Authorized Official Name and Position | Frederic F Luo (PHYSICIAN) |
Authorized Official Contact | 4808881900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sunrise Internal Medicine Pc 22707 S Ellsworth Rd Ste 105 Queen Creek AZ 85142-6132 Ph: (480) 888-1900 | Sunrise Internal Medicine Pc 22707 S Ellsworth Rd Ste 105 Queen Creek AZ 85142-6132 Ph: (480) 888-1900 |
NPI Number | 1972700359 |
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Provider Enumeration Date | 06/29/2007 |
Last Update Date | 01/06/2025 |
Medicare PECOS PAC ID | 3375637952 |
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Medicare Enrollment ID | O20070913000825 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972700359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Frederic F Luo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275690992 PECOS PAC ID: 6103801519 Enrollment ID: I20070911000103 |
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