MEDICARE: ARIZONA SLEEP CENTERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1629016225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIZONA SLEEP CENTERS

Provider Business Mailing Address
First Line	:	1112 E MCDOWELL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2611
Country	:	US
Telephone Number	:	602-258-4951
Fax Number	:	602-254-6840

Provider Business Practice Location Address
First Line	:	1144 E MCDOWELL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2664
Country	:	US
Telephone Number	:	602-258-4951
Fax Number	:	602-254-6840

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	HAROLD KENNETH VIG
Credential	:
Telephone Number	:	602-258-4951

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	08/22/2020

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Directions to “ARIZONA SLEEP CENTERS ” Practice Location

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