Organization
SUNRISE UROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C LIN MD (PRINCIPAL)
(480) 507-9600
Entity
Organization
Contact information
Practice address
3303 S LINDSAY RD, STE 121, GILBERT, AZ 85297-1503
(480) 507-9600
(480) 507-9610
Mailing address
PO BOX 2464, GILBERT, AZ 85299-2464
(480) 507-9600
(480) 507-9610
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
31442
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
778582
—
AZ
Enumeration date
07/20/2006
Last updated
11/17/2008
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