Provider Demographics
NPI:1477870988
Name:AZ SLEEP APNEA CENTER PLLC
Entity Type:Organization
Organization Name:AZ SLEEP APNEA CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BURGENER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-810-2400
Mailing Address - Street 1:13920 W CAMINO DEL SOL
Mailing Address - Street 2:STE 1
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-4438
Mailing Address - Country:US
Mailing Address - Phone:602-810-2400
Mailing Address - Fax:623-975-7063
Practice Address - Street 1:13920 W CAMINO DEL SOL
Practice Address - Street 2:STE 1
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-4438
Practice Address - Country:US
Practice Address - Phone:602-810-2400
Practice Address - Fax:623-975-7063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment