SUN VALLEY COLON & RECTAL SURGERY, LTD.
Radiology at Bola Dr, Sun City, AZ

License number
Arizona AR13460
Category
Radiology
Type
Surgery
Owner
Name: PARAVASTHU S RAMANUJAM MD
Title: PRESIDENT
Phone: (623) 933-5866
Address
Address
12361 W Bola Dr #107, Sun City, AZ 85374
National Provider ID: 1922322999
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SUN VALLEY COLON & RECTAL SURGERY, LTD

PO Box 1543, Sun City, AZ 85372

Status:
Inactive
Inactive reason:
Ad-dissolved-file annual report
Registration:
May 6, 1983
Inactive since:
Oct 15, 2012
State ID:
-0155725-4
Expiration:
PERPETUAL
President:
Paravasthu S Ramanujam (President), PO Box 1543, Sun City, AZ 85351 (Physical)
Business type:
HEALTH CARE

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