Individual
SEAN K SACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
20734 E MAYA RD STE 101, QUEEN CREEK, AZ 85142-2651
(888) 663-6331
(415) 252-7176
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3872
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
879174
—
AZ
Enumeration date
08/16/2005
Last updated
03/14/2025
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