Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Sleep Disorder Diagnostic |
261QS1200X |
| NPI # | 1952671646 |
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| LBN Legal business name | ANCHORAGE SLEEP CENTER, LLC DBA WASILLA SLEEP CENTER | ||||
| Authorized official | CAMERON GARDNER - (MEMBER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 01/11/2012 | ||||
| Last updated | 10/19/2012 - About 14 years ago | ||||
| Identifiers |
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