Provider Demographics
NPI:1437250735
Name:SCOTTSDALE SLEEP CENTER PLC
Entity Type:Organization
Organization Name:SCOTTSDALE SLEEP CENTER PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:HOOPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-767-8811
Mailing Address - Street 1:9767 N 91ST ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5086
Mailing Address - Country:US
Mailing Address - Phone:480-767-8811
Mailing Address - Fax:480-657-0737
Practice Address - Street 1:9767 N 91ST ST
Practice Address - Street 2:SUITE 104
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5086
Practice Address - Country:US
Practice Address - Phone:480-767-8811
Practice Address - Fax:480-657-0737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ69349Medicare PIN