Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Sleep Disorder Diagnostic |
261QS1200X |
| NPI # | 1154739878 |
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| LBN Legal business name | ANCHORAGE SLEEP CENTER, LLC DBA KODIAK SLEEP CENTER | ||||
| Authorized official | CAMERON GARDNER - (MANAGING MEMBER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 07/25/2014 | ||||
| Last updated | 07/25/2014 - About 12 years ago | ||||
| Identifiers |
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