Organization
MEDICAL GROUP OF ARIZONA, LLC
Active
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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