NPI | 1487706487 |
---|---|
Former Legal Business Name | PHOENIX SLEEP, LLC |
Entity Type | Organization |
Authorized Contact | ANTHONY BAUMANN CEO 480-282-6532 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS1200X Clinic/Center Sleep Disorder Diagnostic |
Enumeration Date | 2007-01-18 |
Last Update Date | 2011-06-16 |