Organization Name: | MOHAVE SLEEP MEDICINE ASSOCIATES LLC |
NPI Number: | 1265541304 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MUHAMMAD A. NAYER (SUPERVISING PHYSICIAN) |
Mailing Address: | 1520 E Hammer Ln Suite 103 Fort Mohave |
State: | AZ US |
Postal Code: | 864266664 |
Phone Number: | 9287889445 |
Fax Number: | 9287635056 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 03/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | 23706 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |