Sonoran Family Practice in Coolidge - Physician Assistant

Sonoran Family Practice - NPI 1770748477

Sonoran Family Practice is a Physician Assistant in Coolidge, Arizona. Sonoran Family Practice practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Sonoran Family Practice is 1770748477. The last update date is 2008-09-23.

Sonoran Family Practice's current location address is 171 W Central Ave, Coolidge, Arizona. You can contact this provider via phone number 5207237726 and fax number 5207234513. The mailing address for Sonoran Family Practice is 171 W Central Ave, Coolidge, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Sonoran Family Practice
Address 171 W Central Ave, Coolidge, Arizona
Phone Number 5207237726
Fax Number 5207234513
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PA-C
Authorized Official Name Powell J. Edward
Credentials PA-C
Telephone Number 5207237726

NPI Number Detail

NPI Number 1770748477
Provider Enumeration Date 2008-07-22
Last Updated Date 2008-09-23

Provider Mailing Address Detail

Address 171 W Central Ave
City Coolidge
State Arizona (AZ)
Post Code 852284405
Phone Number 5207237726
Fax Number 5207234513

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1252
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Sonoran Family Practice

What is the unique 10-digit identification code issued to Sonoran Family Practice by the Centers for Medicare & Medicaid Services?

The Sonoran Family Practice has been assigned the NPI (National Provider Identifier) 1770748477 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Sonoran Family Practice's physical address?

The Sonoran Family Practice is physically located at 171 W Central Ave, in the city of Coolidge, AZ, with the postal code 852284405.

What is Sonoran Family Practice's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Sonoran Family Practice is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1770748477 to Sonoran Family Practice?

The Centers for Medicare & Medicaid Services assigned the 1770748477 to Sonoran Family Practice on 2008-07-22.

As of what date were the Sonoran Family Practice's details last updated?

The information pertaining to the Sonoran Family Practice, including its address, specialty, and other details, was most recently updated on 2008-09-23.

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