MEDICARE: SUN VALLEY INTERNISTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1073771861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUN VALLEY INTERNISTS LLC

Provider Business Mailing Address
First Line	:	14815 N DEL WEBB BLVD
Second Line	:
City	:	SUN CITY
State	:	AZ
Zip	:	85351-2145
Country	:	US
Telephone Number	:	623-977-3300
Fax Number	:

Provider Business Practice Location Address
First Line	:	14815 N DEL WEBB BLVD
Second Line	:
City	:	SUN CITY
State	:	AZ
Zip	:	85351-2145
Country	:	US
Telephone Number	:	623-977-3300
Fax Number	:

Authorized Official
Title or Position	:	ACCOUNTS RECEIVABLE
Name	:	KAREN J GARCIA
Credential	:
Telephone Number	:	623-933-6618

Provider Enumeration Date	:	05/28/2008
Last Update Date	:	11/08/2013

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Directions to “SUN VALLEY INTERNISTS LLC ” Practice Location

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