Provider Demographics
NPI:1578954194
Name:AUSTROCYLINDROPUNTIA, LLC
Entity Type:Organization
Organization Name:AUSTROCYLINDROPUNTIA, LLC
Other - Org Name:KOALA CENTER FOR SLEEP DISORDERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CURT
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-957-3808
Mailing Address - Street 1:4235 N 32ND ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-4766
Mailing Address - Country:US
Mailing Address - Phone:602-957-3808
Mailing Address - Fax:602-957-3830
Practice Address - Street 1:4235 N 32ND ST
Practice Address - Street 2:SUITE A
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-4766
Practice Address - Country:US
Practice Address - Phone:602-957-3808
Practice Address - Fax:602-957-3830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-18
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty