| NPI | 1366806440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRETT REED BIRD Owner 801-935-8180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: UT 8200519-1205) |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: UT 8200519-1205) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2023-05-31 |