| NPI | 1063363299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FERGUSON Owner 872-215-0361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2026-02-04 |
| Last Update Date | 2026-07-28 |