| NPI | 1700508983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD M FOUGNER Owner/Director.CEO 480-773-5708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2022-09-14 |