Organization
SANUS II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN F GRUBER MD (MANAGING PARTNER)
(602) 734-1826
Entity
Organization
Contact information
Practice address
20950 N TATUM BLVD STE 150, PHOENIX, AZ 85050-4250
(602) 734-1826
(602) 734-1835
Mailing address
20950 N TATUM BLVD STE 150, PHOENIX, AZ 85050-4250
(602) 734-1826
(602) 734-1835
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588695761
INDIVIDUAL NPI
AZ
Enumeration date
07/31/2018
Last updated
07/31/2018
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