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PHOENIX MEDICAL GROUP PC NPI 1710279658

NPI Profile

NPI: 1710279658
Provider Name: PHOENIX MEDICAL GROUP, PC

Doing Business As: PM SLEEP CENTER

Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
6677 W THUNDERBIRD RD
BLDG E
GLENDALE, AZ
ZIP 85306
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Phone: (623) 815-7800

PHOENIX MEDICAL GROUP, PC is a sleep disorder diagnostic cliniccenter in Glendale, AZ. PHOENIX MEDICAL GROUP, PC NPI is 1710279658. The provider is registered as an organization entity type.
The provider Is Doing Business As Pm Sleep Center.

The provider's business location address is:

6677 W THUNDERBIRD RD
BLDG E
GLENDALE, AZ
ZIP 85306-722
Phone: (623) 815-7800
Fax: (623) 815-7900

The provider's authorized official is Robert R Orr .
The authorized official title is President and has the following contact phone number (623) 815-7800.

The enumeration date for this NPI number is 5/11/2011 and was last updated on 5/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS1200XClinic/CenterSleep Disorder DiagnosticYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
122354MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 7/3/2020

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