| Sonoita Sage Clinic | |
|
3123 Hwy 83 Suite B Sonoita AZ 85637-0843 | |
| (520) 415-0330 | |
| (760) 705-8888 |
| Full Name | Sonoita Sage Clinic |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 3123 Hwy 83, Sonoita, Arizona |
| Authorized Official Name and Position | Elaine Marian Hooper (NP/MEDICAL DIRECTOR) |
| Authorized Official Contact | 5206035151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonoita Sage Clinic Po Box 843 Suite B Az Hwy 83 Sonoita AZ 85637-0843 Ph: (520) 415-0330 | Sonoita Sage Clinic 3123 Hwy 83 Suite B Sonoita AZ 85637-0843 Ph: (520) 415-0330 |
| NPI Number | 1265841563 |
|---|---|
| Provider Enumeration Date | 08/12/2014 |
| Last Update Date | 08/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265841563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ANP0071 (Arizona) | Secondary |
| 261QH0100X | Clinic/center - Health Service | ANP0071 (Arizona) | Primary |
Rchp-sierra Vista Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3250 Highway 82, Sonoita, AZ 85637 Phone: 520-417-3001 | |
Sonoita Sage Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3123 Arizona Hwy 83 B, Sonoita, AZ 85637 Phone: 520-415-0330 |