Provider Demographics
NPI:1942445085
Name:INEGRATED MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:INEGRATED MEDICAL SERVICES INC
Other - Org Name:PHOENIX NEUROLOGY AND SLEEP MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:G
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-535-0050
Mailing Address - Street 1:PO BOX 9004
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85068-9004
Mailing Address - Country:US
Mailing Address - Phone:623-512-4359
Mailing Address - Fax:
Practice Address - Street 1:14044 W CAMELBACK RD
Practice Address - Street 2:STE 204
Practice Address - City:LITCHFIELD PARK
Practice Address - State:AZ
Practice Address - Zip Code:85340-9428
Practice Address - Country:US
Practice Address - Phone:623-535-0050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INEGRATED MEDICAL SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Single Specialty