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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