Organization
SUN LAKES HEALTH CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN H CLOAR (OFFICE MANAGER)
(480) 802-3433
Entity
Organization
Contact information
Practice address
10440 E RIGGS RD, SUITE 170, SUN LAKES, AZ 85248-7751
(480) 802-3433
(480) 802-3439
Mailing address
10440 E RIGGS RD, SUITE 170, SUN LAKES, AZ 85248-7751
(480) 802-3433
(480) 802-3439
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
6740
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN3160
RAILROAD MEDICARE
—
Enumeration date
10/29/2007
Last updated
10/29/2007
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