| Organization Name: | SUN LAKES HEALTH CARE, PC |
| NPI Number: | 1568641314 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN H CLOAR (OFFICE MANAGER) |
| Mailing Address: | 10440 E Riggs Rd Suite 170 Sun Lakes |
| State: | AZ US |
| Postal Code: | 852487751 |
| Phone Number: | 4808023433 |
| Fax Number: | 4808023439 |
| NPI Enumeration Date: | 10/29/2007 |
| NPI Last Update Date: | 10/29/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 6740 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |