RED SEA INFECTIOUS DISEASES, LLC
Osteopathic Medicine in Sun City, AZ

License number
Arizona 45091
Category
Osteopathic Medicine
Type
Infectious Disease
Owner
Name: DR. SAMUEL H BAIRU M.D.
Title: OWNER
Phone: (623) 974-6611
Address
Address 2
14502 W Meeker Blvd Physician Is, Sun City, AZ 85375
4410 Pmb #280, Glendale, AZ 85308
National Provider ID: 1285910943
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RED SEA INFECTIOUS DISEASES, LLC

17223 N 56 Dr, Glendale, AZ 85308

Registration:
Oct 11, 2011
State ID:
L-1712871-2
Expiration:
PERPETUAL
Manager:
Samuel H Bairu Md (Manager), Pmb 280, Glendale, AZ 85308 (Physical)
Agent:
Paul M Shanahan,17223 N 56 Dr, Glendale, AZ 85308 (Physical)

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