| NPI | 1154739878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON DEAN GARDNER Managing Member 907-887-9520 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: AK 1008468) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |