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Organization
GRAND CANYON DIAGNOSTIC SERVICES
Active
Organization
GRAND CANYON DIAGNOSTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH SCHLEEPER (CREDENTIALING)
(602) 246-0721
Entity
Organization
Contact information
Practice address
1525 S HIGLEY RD STE 104, GILBERT, AZ 85296-5045
(480) 282-7938
Mailing address
1525 S HIGLEY RD STE 104, GILBERT, AZ 85296-5045
(480) 282-7938
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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