Organization
SONOITA SAGE CLINIC
Active
Organization
SONOITA SAGE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE MARIAN HOOPER ANP/GNP (NP/MEDICAL DIRECTOR)
(520) 603-5151
Entity
Organization
Contact information
Practice address
3123 HWY 83, SUITE B, SONOITA, AZ 85637-0843
(520) 415-0330
(760) 705-8888
Mailing address
PO BOX 843 SUITE B, AZ HWY 83, SONOITA, AZ 85637-0843
(520) 415-0330
(760) 705-8888
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ANP0071
AZ
261QP2300X
Primary Care Clinic/Center
ANP0071
AZ
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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