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General NPI Number Information
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NPI Number | 1457685422
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Entity Type | Organization
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Legal Business Name | SANZ INC.
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Dates
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Enumeration Date | 09/23/2009
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Last Update Date | 02/23/2015
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Provider Practice Location Address
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Address Line | 13180 E COLOSSAL CAVE RD STE 150
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City | VAIL
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State | AZ
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Zip | 85641-9794
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Country | US
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Telephone | 520-762-1557
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Fax | 520-762-8019
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Provider Business Mailing Address
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Address Line | 13180 E COLOSSAL CAVE RD STE 150
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City | VAIL
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State | AZ
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Zip | 85641-9794
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Country | US
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Telephone | 520-762-1557
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Fax | 520-762-8019
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. SAMREEN KHAN
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Credential |
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Telephone | 520-762-1557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 31208
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License Number State | AZ
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