PUERTO SONORA INTERNAL MEDICINE

TEMPE, AZ
NPI1427635408
Entity TypeOrganization
Authorized ContactLYNN PANGALLO
Accounting Manager Credentialing
702-375-5777
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207QA0401X Family Medicine, Addiction Medicine
207QA0505X Family Medicine, Adult Medicine
208VP0000X Pain Medicine, Pain Medicine
Enumeration Date2021-03-25
Last Update Date2023-02-28
Business Address
PUERTO SONORA INTERNAL MEDICINE
4653 S LAKESHORE DR STE 3
TEMPE, AZ 85282-7161
Phone number: 480-456-8981
Mailing Address
PUERTO SONORA INTERNAL MEDICINE
4653 S LAKESHORE DR STE 3
TEMPE, AZ 85282-7161
Phone number: 480-456-8981