| NPI | 1700211323 |
|---|---|
| Doing Business As | GERALD CHAMPION SLEEP CENTER |
| Entity Type | Organization |
| Authorized Contact | ROBERT JAMES HECKERT CEO 575-443-7845 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |