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Organization

SUNRIDGE MEDICAL WELLNES CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GIOACCHINO VINCENZO FRANCO NMD (MEDICAL DIRECTOR)
(480) 659-9155
Entity
Organization

Contact information

Practice address
14200 N NORTHSIGHT BLVD, SUITE 160, SCOTTSDALE, AZ 85260-3947
(480) 659-9135
(800) 659-9035
Mailing address
14200 N NORTHSIGHT BLVD, SUITE 160, SCOTTSDALE, AZ 85260-3947
(480) 659-9135
(800) 659-9035

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
04-839
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04839
STATE LICENSURE
AZ
Enumeration date
03/02/2010
Last updated
03/02/2010
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