MEDICARE: DR. ANAIS MIRALE SONDER MD

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	207R00000X	Internal Medicine Physician	30678	AZ

General Provider Information

NPI Number	:	1205866936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANAIS MIRALE SONDER MD

Provider Business Mailing Address
First Line	:	7150 E CAMELBACK RD
Second Line	:	SUITE 105
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-1200
Country	:	US
Telephone Number	:	602-218-4072
Fax Number	:	602-218-4076

Provider Business Practice Location Address
First Line	:	7150 E CAMELBACK RD
Second Line	:	SUITE 105
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-1200
Country	:	US
Telephone Number	:	602-218-4072
Fax Number	:	602-218-4076

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	09/02/2016

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