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Organization
POLARIS MANAGEMENT GROUP LLC
Active
Organization
POLARIS MANAGEMENT GROUP LLC
Active
Other names
SURGSYS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONJA WANEBO MD (MANAGER)
(858) 699-0572
Entity
Organization
Contact information
Practice address
7301 E 2ND ST, SUITE 106, SCOTTSDALE, AZ 85251-5600
(858) 699-0572
Mailing address
PO BOX 1598, SCOTTSDALE, AZ 85252-1598
(858) 699-0572
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42765
AZ
208600000X
Surgery Physician
42765
AZ
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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