| NPI | 1841498615 |
|---|---|
| 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 | 2007-07-03 |
| Last Update Date | 2008-12-17 |