Organization
SUN VALLEY COLON & RECTAL SURGERY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARAVASTHU S RAMANUJAM MD (PRESIDENT)
(623) 933-5866
Entity
Organization
Contact information
Practice address
12361 W BOLA DR, #107, SURPRISE, AZ 85374-9021
(623) 933-5866
(623) 933-5872
Mailing address
PO BOX 1543, SUN CITY, AZ 85372-1543
(623) 933-5866
(623) 933-5872
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
AR13460
AZ
Other
Enumeration date
03/19/2010
Last updated
12/10/2010
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