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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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