Sundance Medical Associates Pllc

LBN: Sundance Medical Associates Pllc
Sundance Medical Associates Pllc is an health care organization with primary practice located at 633 E Ray Rd Ste 133 , Gilbert AZ 85296-4206. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Sundance Medical Associates Pllc can be contacted via phone (480) 782-0609, or through Sackett, Sean K via phone (480) 782-0609.

Contact Information

Primary practice address
633 E Ray Rd Ste 133 Gilbert AZ 85296-4206
Phone: (480) 782-0609
Fax: (480) 782-0610
Website:
Map and Directions
Authorized official contact:
Name: Sackett, Sean K Doctor of Osteopathy (DO)
Phone: (480) 782-0609

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X AZ3872 Arizona

Profile Details

NPI number 1942481718
LBN Legal business name Sundance Medical Associates Pllc
DBA Doing business as
Authorized official Sackett, Sean K Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2007
Last updated Nov 28th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942481718 NPPES
Arizona MEDICAID 879174
Arizona MEDICAID 977358

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