| Sunrise Internal Medicine Pc | |
|
22707 S. Ellsworth Rd. Suite #h105 Queen Creek AZ 85242 | |
| (000) 000-0000 | |
| Not Available |
| Full Name | Sunrise Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 22707 S. Ellsworth Rd., Queen Creek, Arizona |
| Authorized Official Name and Position | Frederic F Luo (PHYSICIAN) |
| Authorized Official Contact | 9284869696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Internal Medicine Pc 22707 S. Ellsworth Rd. Suite #h105 Queen Creek AZ 85242-6119 Ph: () - | Sunrise Internal Medicine Pc 22707 S. Ellsworth Rd. Suite #h105 Queen Creek AZ 85242 Ph: (000) 000-0000 |
| NPI Number | 1972700359 |
|---|---|
| Provider Enumeration Date | 06/29/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3375637952 |
|---|---|
| Medicare Enrollment ID | O20070913000825 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972700359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Frederic F Luo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275690992 PECOS PAC ID: 6103801519 Enrollment ID: I20070911000103 |
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