| NPI | 1487635033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN L PITMAN Clinic Administrator 877-688-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2008-01-10 |