| 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 |
Amra Stafford, Psyd, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 67 E Weldon Ave, Suite 320, Phoenix, AZ 85012 Phone: 602-456-7565 Fax: 602-266-0234 | |
Pro Iom Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 Phone: 602-482-2282 | |
Liberty Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8111 N 19th Ave Apt 2038, Phoenix, AZ 85021 Phone: 602-367-7916 | |
Insight-therapy Az Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4545 E Shea Blvd Ste 235, Phoenix, AZ 85028 Phone: 602-315-4068 Fax: 602-675-2705 | |
White Tiger Integrated Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 E Weldon Ave Ste 220, Phoenix, AZ 85012 Phone: 603-637-7361 | |
Eden Recovery Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2538 E University Dr Ste 180, Phoenix, AZ 85034 Phone: 480-390-3375 | |
Native Country Healthcare Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4805 W Thomas Rd, Phoenix, AZ 85031 Phone: 602-706-8741 |