NPI | 1558623611 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERI DEROCHIE Billing Manager 620-260-9789 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
Enumeration Date | 2012-06-13 |
Last Update Date | 2012-06-13 |