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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

Language Start Address Practice Location
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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