Organization
SUNBELT MEDICAL GROUP LLC
Active
Parent organization
SUNBELT MEDICAL GROUP, LLC
Other names
SMG Vascular Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNBELT MEDICAL GROUP, LLC
Authorized official
MICHAEL MISEVCH (CREDENTIALING)
(520) 322-6274
Entity
Organization
Contact information
Practice address
1601 W SAINT MARYS RD, TUCSON, AZ 85745-2623
(520) 322-6274
(520) 509-4496
Mailing address
2850 N COUNTRY CLUB RD, TUCSON, AZ 85716-1910
(520) 322-6274
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/18/2025
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