Organization
VA MEDICAL CENTER IN PHOENIX AZ
Active
Organization
VA MEDICAL CENTER IN PHOENIX AZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS MYERS (CHIEF OF RESPIRATORY CARE)
(928) 445-4860
Entity
Organization
Contact information
Practice address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(928) 445-4860
Mailing address
PO BOX 12585, PRESCOTT, AZ 86304-2585
(602) 619-2019
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
—
227900000X
Registered Respiratory Therapist
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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