| Canyon Sleep Neurology And Wellness Group, Llc | |
|
10645 N Tatum Blvd Ste 200-128 Phoenix AZ 85028-3068 | |
| (480) 280-0078 | |
| (480) 573-9698 |
| Full Name | Canyon Sleep Neurology And Wellness Group, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10645 N Tatum Blvd Ste 200-128, Phoenix, Arizona |
| Authorized Official Name and Position | Matthew Michael Troester (PRESIDENT) |
| Authorized Official Contact | 4803881214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Sleep Neurology And Wellness Group, Llc 10645 N Tatum Blvd Ste 200-128 Phoenix AZ 85028-3068 Ph: (480) 280-0078 | Canyon Sleep Neurology And Wellness Group, Llc 10645 N Tatum Blvd Ste 200-128 Phoenix AZ 85028-3068 Ph: (480) 280-0078 |
| NPI Number | 1033889530 |
|---|---|
| Provider Enumeration Date | 09/15/2021 |
| Last Update Date | 09/20/2021 |
| Certification Date | 09/20/2021 |
| Medicare PECOS PAC ID | 7719370808 |
|---|---|
| Medicare Enrollment ID | O20220214001651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033889530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Matthew M Troester |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134318942 PECOS PAC ID: 5294807012 Enrollment ID: I20080710000345 |
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