Sonoita Sage Clinic, Pllc

NPI #1720480312 in Sonoita, Arizona

Provider Information

NPI Number: 1720480312
Entity Type: Organization
Organization Name: Sonoita Sage Clinic, Pllc
Primary Specialty: Clinic/Center
Enumeration Date: Sep 25, 2014
Last Updated: Oct 6, 2014

Practice Location

Address: 3123 ARIZONA HWY 83 B
City: Sonoita
State: Arizona
ZIP Code: 85637
Phone: (520) 415-0330

Authorized Official

Name: MRS. ELAINE MARIAN HOOPER, ANP/GNP, BC
Title: MEDICAL DIRECTOR
Phone: (520) 415-0330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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