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Organization
SUN HEALTH MEDICAL GROUP LLC
Active
Organization
SUN HEALTH MEDICAL GROUP LLC
Active
Parent organization
SUN HEALTH CORPORATION
Other names
Sun Health Obstetrics & Gynecology
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUN HEALTH CORPORATION
Authorized official
PAUL R BROSOR (VICE PRESIDENT, PHYSICIAN SERVICES)
(623) 544-5079
Entity
Organization
Contact information
Practice address
14418 W MEEKER BLVD, STE. 304, SUN CITY WEST, AZ 85375-5283
(623) 214-4400
Mailing address
PO BOX 1278, ATTN: MINDY OGDEN, SUN CITY, AZ 85372-1278
(623) 544-5075
(623) 544-5093
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
NULL
207VG0400X
Gynecology Physician
—
—
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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