Organization
SUNRISE MEDICAL GROUP CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR EDWARDS (CEO AND PRESIDENT)
(435) 868-1001
Entity
Organization
Contact information
Practice address
1152 E GREENWAY ST STE 5, MESA, AZ 85203-4360
(435) 868-1001
Mailing address
486 W 165 S, OREM, UT 84058-5360
(435) 868-1001
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/30/2017
Last updated
10/21/2019
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