Healthcare Provider Details

I. General information

NPI: 1972426930
Provider Name (Legal Business Name): ARIZONA SUNRAYS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15801 N 32ND ST
PHOENIX AZ
85032-0803
US

IV. Provider business mailing address

15801 N 32ND ST
PHOENIX AZ
85032-0803
US

V. Phone/Fax

Practice location:
  • Phone: 602-992-5790
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW WITENSTEIN
Title or Position: CFO
Credential:
Phone: 602-616-1638