Organization
SONOITA SAGE CLINIC, PLLC
Active
Organization
SONOITA SAGE CLINIC, PLLC
Active
Other names
Sonoita Sage Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE MARIAN HOOPER ANP/GNP, BC (MEDICAL DIRECTOR)
(520) 415-0330
Entity
Organization
Contact information
Practice address
3123 ARIZONA HWY 83 B, SONOITA, AZ 85637
(520) 415-0330
Mailing address
PO BOX 843, SONOITA, AZ 85637-0843
(520) 415-0330
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AP6266
AZ
Other
Enumeration date
09/25/2014
Last updated
10/06/2014
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