Organization
DIAGNOSTIC SLEEP AND RESPIRATORY CENTER LLC
Active
Other names
Diagnostic Sleep
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENA MARIE HACKWORTH-STOCKETT CRT,RPSGT (OWNER/ CLINICAL DIRECTOR)
(520) 586-4729
Entity
Organization
Contact information
Practice address
282 E 4TH ST, BENSON, AZ 85602-6612
(520) 586-4729
(520) 423-3977
Mailing address
282 E 4TH ST, BENSON, AZ 85602-6612
(520) 586-4729
(520) 423-3977
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
9504
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283007
—
AZ
Enumeration date
09/27/2007
Last updated
03/18/2009
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