MEDICARE: TALER SUGGS

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1659107696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TALER SUGGS

Provider Business Mailing Address
First Line	:	550 N 3RD STREET
Second Line	:	HEALTH NORTH BUILDING, 3RD FLOOR
City	:	PHOENIX
State	:	AZ
Zip	:	85004
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 N 3RD STREET
Second Line	:	HEALTH NORTH BUILDING, 3RD FLOOR
City	:	PHOENIX
State	:	AZ
Zip	:	85004
Country	:	US
Telephone Number	:	602-496-0907
Fax Number	:

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

Provider Enumeration Date	:	09/09/2024
Last Update Date	:	04/29/2026

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Directions to “ TALER SUGGS ” Practice Location

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