Organization
SKYSONG MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHALLEN WAYCHOFF III (COO/MANAGER)
(480) 634-6400
Entity
Organization
Contact information
Practice address
1375 N SCOTTSDALE RD STE 180, SCOTTSDALE, AZ 85257-3428
(480) 874-9800
(480) 874-9804
Mailing address
1375 N SCOTTSDALE RD STE 180, SCOTTSDALE, AZ 85257-3428
(480) 874-9800
(480) 874-9804
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/10/2017
Last updated
01/30/2018
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