| 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 |
| Medicare PECOS PAC ID | 7719370808 |
|---|---|
| Medicare Enrollment ID | O20220214001651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033889530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Primary |
| Provider Name | Matthew M Troester |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134318942 PECOS PAC ID: 5294807012 Enrollment ID: I20080710000345 |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
Kelly H. Roy, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 | |
My Family Doctor In The Valley Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Deborah L Dykema Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 | |
Scottsdale Housecall Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Wings Of Hope Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029 Phone: 602-971-0304 Fax: 602-971-0305 | |
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