Organization
SUN IMAGING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANNTEJ SRA M.D. (OWNER)
(602) 705-1353
Entity
Organization
Contact information
Practice address
13943 N 91ST AVE, SUITE A102, PEORIA, AZ 85381-3629
(623) 344-0642
(623) 344-5458
Mailing address
13943 N 91ST AVE, SUITE A102, PEORIA, AZ 85381-3629
(623) 344-0642
(623) 344-5458
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
273509992
AZ
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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