| NPI | 1578833265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON GARDNER Member 907-887-9520 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: AK 963251) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-10-19 |