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Organization
PHOENIX SLEEP SOLUTIONS, LLC
Active
Organization
PHOENIX SLEEP SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY MICHEAL MCDERMAND RRT (CEO)
(877) 311-6731
Entity
Organization
Contact information
Practice address
2355 FAIRVIEW AVE N, # 123, ROSEVILLE, MN 55113-2724
(877) 311-6731
(855) 844-8083
Mailing address
2355 FAIRVIEW AVE N, # 123, ROSEVILLE, MN 55113-2724
(877) 311-6731
(855) 844-8083
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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