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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