Organization
SOUTHWEST INSTITUTE FOR SLEEP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HADDAR E ICHILOV P.T. (ADMINISTRATOR)
(602) 439-3800
Entity
Organization
Contact information
Practice address
15640 N 7TH ST, SUITE 1, PHOENIX, AZ 85022-3512
(602) 439-3800
Mailing address
15640 N 7TH ST, SUITE 1, PHOENIX, AZ 85022-3512
(602) 439-3800
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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