Organization
SUN HEALTH PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM T SELLNER (CHIEF FINANCIAL OFFICER)
(623) 876-6616
Entity
Organization
Contact information
Practice address
10401 W THUNDERBIRD BLVD, SUN CITY, AZ 85351-3004
(623) 876-5351
Mailing address
PO BOX 1149, PEORIA, AZ 85380-1149
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
Primary
—
—
246Z00000X
Other Specialist/Technologist
—
—
246ZE0500X
EEG Specialist/Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
367799
AHCCCS GROUP ID
AZ
01
—
CR0439
RAIL ROAD MEDICARE
AZ
Enumeration date
05/27/2006
Last updated
11/17/2007
Update your record
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