Puerto Sonora Internal Medicine

NPI #1427635408 in Tempe, Arizona

Provider Information

NPI Number: 1427635408
Entity Type: Organization
Organization Name: Puerto Sonora Internal Medicine
Primary Specialty: Internal Medicine
Enumeration Date: Mar 25, 2021
Last Updated: Feb 28, 2023

Practice Location

Address: 4653 S LAKESHORE DR STE 3
City: Tempe
State: Arizona
ZIP Code: 85282-7161
Phone: (480) 456-8981

Authorized Official

Name: LYNN PANGALLO
Title: ACCOUNTING MANAGER - CREDENTIALING
Phone: (702) 375-5777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Addiction Medicine — Addiction Medicine	207QA0401X
Family Medicine - Adult Medicine — Adult Medicine	207QA0505X
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X
Internal Medicine	207R00000X	Primary

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