Provider Demographics
NPI:1649514753
Name:DAVID PATZ SLEEP MD PLLC
Entity type:Organization
Organization Name:DAVID PATZ SLEEP MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:S
Authorized Official - Last Name:PATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-640-7240
Mailing Address - Street 1:2232 N 7TH ST STE 3
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-7454
Mailing Address - Country:US
Mailing Address - Phone:970-549-1686
Mailing Address - Fax:970-549-1687
Practice Address - Street 1:1050 WELLINGTON AVE
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-8121
Practice Address - Country:US
Practice Address - Phone:970-245-4810
Practice Address - Fax:070-242-1275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO28254207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty