| NPI | 1679892475 |
|---|---|
| Doing Business As | DELTA WAVES OF PUEBLO |
| Entity Type | Organization |
| Authorized Contact | RANDALL LOWELL ANDERSON President 719-262-9283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |