# SUN HEALTH MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUN HEALTH CORPORATION
- **Other names:** Sun Health Pain Management Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912177478
- **Legal business name:** SUN HEALTH CORPORATION
- **Authorized official:** WILLIAM T SELLNER (CFO)
- **Authorized official phone:** (623) 876-6616

## Contact information

- **Practice address:** 13203 N 103RD AVE, SUITE H5, SUN CITY, AZ 85351-3028
- **Practice address phone:** (623) 875-6570
- **Practice address fax:** (623) 972-0049
- **Mailing address:** PO BOX 1278, ATTN: MINDY OGDEN, SUN CITY, AZ 85372-1278
- **Mailing address phone:** (623) 544-5075
- **Mailing address fax:** (623) 544-5093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/11/2008
- **Last updated:** 03/11/2008