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Organization

SUDEEP PUNIA MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEEVAN J PUNIA (MANAGING DIRECTOR)
(623) 900-2454
Entity
Organization

Contact information

Practice address
7330 N 99TH AVE STE 205, GLENDALE, AZ 85307-3018
(623) 691-8319
(623) 398-7678
Mailing address
C/O ABLOOMMEDICAL SPA, 17218 N 72ND DR,#110, GLENDALE, AZ 85308
(623) 691-8319
(623) 398-7678

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
08/24/2020
Last updated
08/27/2020
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