Organization
SUNDANCE MEDICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN K SACKETT D.O. (OWNER)
(480) 782-0609
Entity
Organization
Contact information
Practice address
633 E RAY RD STE 133, GILBERT, AZ 85296-4206
(480) 782-0609
(480) 782-0610
Mailing address
633 E RAY RD STE 133, GILBERT, AZ 85296-4206
(480) 782-0609
(480) 782-0610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AZ3872
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
879174
—
AZ
05
—
977358
—
AZ
Enumeration date
11/20/2007
Last updated
11/28/2012
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