NPI | 1093965493 |
---|---|
Entity Type | Organization |
Authorized Contact | BRAD LEE BERRYMAN President/CEO 209-588-8068 |
Organization Subpart ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A79487) |
Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: CA A79487) |
Enumeration Date | 2008-09-23 |
Last Update Date | 2008-09-23 |