Organization
SLEEP DISORDERS CENTER OF PRESCOTT VALLEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE GAYLE MUNDELL (BILLING SUPERVISOR)
(928) 453-9199
Entity
Organization
Contact information
Practice address
1840 MESQUITE AVE STE B, LAKE HAVASU CITY, LAKE HAVASU CITY, AZ 86403-5771
(928) 453-9199
(928) 453-9207
Mailing address
PO BOX 3270, LAKE HAVASU CITY, AZ 86405-3270
(928) 453-9199
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/30/2009
Last updated
09/22/2009
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