Sonoran Family Practice

NPI #1770748477 in Coolidge, Arizona

Provider Information

NPI Number: 1770748477
Entity Type: Organization
Organization Name: Sonoran Family Practice
Primary Specialty: Physician Assistant
Enumeration Date: Jul 22, 2008
Last Updated: Sep 23, 2008

Practice Location

Address: 171 W CENTRAL AVE
City: Coolidge
State: Arizona
ZIP Code: 85228-4405
Phone: (520) 723-7726

Authorized Official

Name: EDWARD J. POWELL, PA-C
Title: PA-C
Phone: (520) 723-7726

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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