| NPI | 1700209509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANNE STEINMETZ Member/Office Manager 307-349-6215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center Sleep Disorder Diagnostic |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |