Provider Demographics
NPI:1629016225
Name:ARIZONA SLEEP CENTERS
Entity type:Organization
Organization Name:ARIZONA SLEEP CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:VIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-258-4951
Mailing Address - Street 1:1112 E MCDOWELL RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-2611
Mailing Address - Country:US
Mailing Address - Phone:602-258-4951
Mailing Address - Fax:602-254-6840
Practice Address - Street 1:1144 E MCDOWELL RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2664
Practice Address - Country:US
Practice Address - Phone:602-258-4951
Practice Address - Fax:602-254-6840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty