Sun Wellness, PLLC
Internal Medicine, Critical Care Medicine in Sun City, AZ. Organization (NPI-2).
NPI number1982143756
StatusActive
Last updated in NPPESMar 16, 2017
Details
- NPI
- 1982143756
- Entity type
- Organization (NPI-2)
- Legal business name
- Sun Wellness, PLLC
- Organization subpart
- No
- Enumeration date
- Feb 14, 2017
- Last updated
- Mar 16, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0200X | Internal Medicine, Critical Care Medicine | 6226 | AZ | Yes |
| 207RP1001X | Internal Medicine, Pulmonary Disease | 6226 | AZ |
Practice location
10192 W Coggins DrSun City, AZ 85351-3405
Phone 480-812-5828 · Fax 602-840-1290
Mailing address
6449 E Gainsborough RdScottsdale, AZ 85251-1950
Phone 480-812-5828 · Fax 602-840-1290
Authorized official
Nina M Shah
Owner/Member Manager
4808125828
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