Healthcare Provider Details

I. General information

NPI: 1720901978
Provider Name (Legal Business Name): REM SLEEP INSTITUTE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 W MARIPOSA ST APT 8
PHOENIX AZ
85013-2573
US

IV. Provider business mailing address

PO BOX 32141
PHOENIX AZ
85064-2141
US

V. Phone/Fax

Practice location:
  • Phone: 480-370-7869
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES DAVIS
Title or Position: EXECUTIVE PARTNER
Credential: DO
Phone: 480-370-7869