Organization
CITIZENS INTEGRATED MEDICAL SERVICES LLC
Active
Other names
CIMSAZ
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NOAH SANG AGACNP-C, FNP-C (ADMINISTRATOR)
(480) 992-1455
Entity
Organization
Contact information
Practice address
1530 E WILLIAMS FIELD RD STE 201, GILBERT, AZ 85295-1825
(480) 406-1132
(480) 613-2912
Mailing address
1530 E WILLIAMS FIELD RD STE 201, GILBERT, AZ 85295-1825
(480) 406-1132
(480) 613-2912
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457839896
—
AZ
Enumeration date
05/29/2020
Last updated
10/13/2022
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