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Organization

SLEEP DISORDER CENTER OF PRESCOTT VALLEY LLC

Active
Other names
Sleep Disorders of Flagstaff LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MELANIE MUNDELL (BILLING SUPERVISOR)
(928) 453-9199
Entity
Organization

Contact information

Practice address
3259 N WINDSONG DR, SUITE A, PRESCOTT VALLEY, AZ 86314-1227
(928) 772-6422
(928) 772-6425
Mailing address
3259 N WINDSONG DR STE A, PRESCOTT VALLEY, AZ 86314-1222
(928) 453-9199
(928) 453-9207

Taxonomy

Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DC9826
RAILROAD MEDICARE
AZ
Enumeration date
09/14/2006
Last updated
11/18/2011
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