Organization
SONORAN SURGICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHAN E MEYER PA-C (PHYSICIAN ASSISTANT)
(480) 376-4494
Entity
Organization
Contact information
Practice address
2502 S COTTONWOOD DR, TEMPE, AZ 85282-3071
(480) 376-4494
Mailing address
2502 S COTTONWOOD DR, TEMPE, AZ 85282-3071
(480) 376-4494
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5499
AZ
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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