Organization
SUNRISE PEDIATRICS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROCIO ELENA ESPINOZA M.D. (MEDICAL DOCTOR)
(931) 454-9411
Entity
Organization
Contact information
Practice address
715 KINGS LN, TULLAHOMA, TN 37388-5372
(931) 454-9411
(931) 454-2145
Mailing address
715 KINGS LN, P.O. BOX 695, TULLAHOMA, TN 37388-5372
(931) 454-9411
(931) 454-2145
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TN
Enumeration date
02/04/2009
Last updated
02/04/2009
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