NPI | 1578130209 |
---|---|
Doing Business As | NORTHWESTERN SLEEP CENTER |
Entity Type | Organization |
Authorized Contact | MARY E PIGEON Payor Credentialing & Contract Spec 802-524-8954 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
Enumeration Date | 2021-06-10 |
Last Update Date | 2021-06-10 |