# SOUTHWEST INSTITUTE FOR SLEEP

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

## Provider details

- **NPI number:** 1700030731
- **Authorized official:** MR. HADDAR E ICHILOV P.T. (ADMINISTRATOR)
- **Authorized official phone:** (602) 439-3800

## Contact information

- **Practice address:** 15640 N 7TH ST, SUITE 1, PHOENIX, AZ 85022-3512
- **Practice address phone:** (602) 439-3800
- **Mailing address:** 15640 N 7TH ST, SUITE 1, PHOENIX, AZ 85022-3512
- **Mailing address phone:** (602) 439-3800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2008
- **Last updated:** 11/04/2008