Healthcare Provider Details

I. General information

NPI: 1972432631
Provider Name (Legal Business Name): SONORAN EPILEPSY CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 N 2ND ST STE 121A
PHOENIX AZ
85020-2446
US

IV. Provider business mailing address

PO BOX 82111
PHOENIX AZ
85071-2111
US

V. Phone/Fax

Practice location:
  • Phone: 864-387-9362
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: GINA HOPKINS-CALLIGAN
Title or Position: OWNER
Credential: MD
Phone: 864-387-9362