| Caselli Avenue Professionals LLC | |
|
9812 N 7th St 9812 N. 7th Street Phoenix AZ 85020-1763 | |
| (602) 714-6783 | |
| (602) 325-0125 |
| Full Name | Caselli Avenue Professionals LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 9812 N 7th St, Phoenix, Arizona |
| Authorized Official Name and Position | John Sutherland (CEO) |
| Authorized Official Contact | 6027146783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caselli Avenue Professionals LLC 9812 N 7th St 9812 N7th Street Suite 7 Phoenix AZ 85020-1763 Ph: (602) 714-6783 | Caselli Avenue Professionals LLC 9812 N 7th St 9812 N. 7th Street Phoenix AZ 85020-1763 Ph: (602) 714-6783 |
| NPI Number | 1669845558 |
|---|---|
| Provider Enumeration Date | 11/02/2015 |
| Last Update Date | 11/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669845558 | NPI | - | NPPES |
| 445470 | Medicaid | AZ | |
| WCSKQ | Other | AZ | SUN HEALTH GROUP |
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