Sonoran Radiology Ltd
Radiology, Vascular & Interventional Radiology in Mesa, AZ. Organization (NPI-2).
NPI number1033745708
StatusActive
Last updated in NPPESMar 25, 2026
Details
- NPI
- 1033745708
- Entity type
- Organization (NPI-2)
- Legal business name
- Sonoran Radiology Ltd
- Organization subpart
- No
- Enumeration date
- Mar 13, 2020
- Certification date
- Mar 25, 2026
- Last updated
- Mar 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | – | – | Yes |
| 363L00000X | Nurse Practitioner | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 2085R0202X | Radiology, Diagnostic Radiology | – | – |
Practice location
1400 S Dobson RdMesa, AZ 85202-4707
Phone 623-299-8743
Mailing address
Po Box 85502Chicago, IL 60689-5502
Authorized official
Karen Vaughn
Ao
6293171465
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