MEDICARE: SONORAN WELLNESS PRIMARY CARE PLLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1962380196
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SONORAN WELLNESS PRIMARY CARE PLLC

Provider Business Mailing Address
First Line	:	PO BOX 43100
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85733-3100
Country	:	US
Telephone Number	:	520-839-5535
Fax Number	:

Provider Business Practice Location Address
First Line	:	1760 E RIVER RD STE 135
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-5988
Country	:	US
Telephone Number	:	520-542-2654
Fax Number	:	520-526-1153

Authorized Official
Title or Position	:	PARTNER
Name	:	JASON SCHEMP
Credential	:	MD
Telephone Number	:	520-839-5535

Provider Enumeration Date	:	08/25/2025
Last Update Date	:	01/27/2026

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