| NPI | 1639367329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLI M WALL Insurance Contracting Specialist 405-285-4914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2009-01-19 |