Organization · NPI-2
1 Stop Cpap Shop
Clinic/Center, Sleep Disorder Diagnostic · Prescott Valley, AZ
NPI number1861936908
StatusActive
Last updated in NPPESApr 24, 2017
Details
- NPI
- 1861936908
- Entity type
- Organization (NPI-2)
- Legal business name
- 1 Stop Cpap Shop
- Organization subpart
- No
- Enumeration date
- Dec 8, 2016
- Last updated
- Apr 24, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1200X | Clinic/Center, Sleep Disorder Diagnostic | 16-00017353 | AZ | Yes |
Practice location
7760 E State Route 69C5-207
Prescott Valley, AZ 86314-2201
Phone 928-899-6686 · Fax 877-275-2212
Mailing address
7760 E State Route 69C5-207
Prescott Valley, AZ 86314-2201
Phone 928-899-6686 · Fax 877-275-2212
Authorized official
Kory D Johnson
Clinical Sleep Educator
9288996686
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