Organization
PHOENIX SLEEP CENTER FOR SNORING & SLEEP APNEA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM RANDOL WOMACK DDS (CEO/OWNER)
(623) 266-0469
Entity
Organization
Contact information
Practice address
7505 W DEER VALLEY RD, SUITE 120B, PEORIA, AZ 85382-2107
(623) 266-0469
Mailing address
7505 W DEER VALLEY RD, SUITE 120B, PEORIA, AZ 85382-2107
(623) 266-0469
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/14/2012
Last updated
03/28/2013
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