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NPI Code Detail

MEDICARE: SUN HEALTH PHYSICIANS

MEDICARE: SUN HEALTH PHYSICIANS
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
1246ZE0500XEEG Specialist/Technologist
2246Z00000XOther Specialist/Technologist
3246X00000XCardiovascular Specialist/Technologist

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CR0439OTHERAZRAIL ROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1367799OTHERAZAHCCCS GROUP ID

General Provider Information

NPI Number : 1952358723
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUN HEALTH PHYSICIANS
Provider Business Mailing Address
First Line : PO BOX 1149
Second Line :
City : PEORIA
State : AZ
Zip : 85380-1149
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10401 W THUNDERBIRD BLVD
Second Line :
City : SUN CITY
State : AZ
Zip : 85351-3004
Country : US
Telephone Number : 623-876-5351
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : WILLIAM T SELLNER
Credential :
Telephone Number : 623-876-6616
Provider Enumeration Date : 05/27/2006
Last Update Date : 11/17/2007

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Directions to “SUN HEALTH PHYSICIANS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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