Organization Name: | DAVID SAMUEL PATZ |
NPI Number: | 1013002088 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID S PATZ (OWNER MEDICAL DIRECTOR) |
Mailing Address: | 2232 N 7th St Ste 4 Grand Junction |
State: | CO US |
Postal Code: | 815017459 |
Phone Number: | 9702419760 |
Fax Number: | 9702570831 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 06/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |