# THE ARIZONA CENTER FOR SLEEP MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013230192
- **Authorized official:** JEFFREY KOEBNICK (CLINICAL MANAGER)
- **Authorized official phone:** (520) 471-2761

## Contact information

- **Practice address:** 830 W CALLE ORMINO, SAHUARITA, AZ 85629-7833
- **Practice address phone:** (520) 471-2761
- **Mailing address:** 830 W CALLE ORMINO, SAHUARITA, AZ 85629-7833
- **Mailing address phone:** (520) 471-2761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | AZ | Yes |

## Other

- **Enumeration date:** 03/03/2010
- **Last updated:** 03/03/2010