Organization
MEDICAL GROUP OF ARIZONA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINALD M. SUTTON M.D. (SOLE MEMBER)
(480) 686-8737
Entity
Organization
Contact information
Practice address
13430 N. BLACK CANYON HIGHWAY, SUITE 100, PHOENIX, AZ 85029-1310
(602) 943-9200
(602) 216-3000
Mailing address
4616 N 51ST AVE, SUITE 103, PHOENIX, AZ 85031-1720
(480) 686-8737
(602) 216-3000
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
29166
AZ
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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