# PROFESSIONAL SLEEP SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184097636
- **Authorized official:** AUTUMN GROUNDS-MENARD (DIRECTOR OF FINANCE AND OPERATIONS)
- **Authorized official phone:** (303) 396-5923

## Contact information

- **Practice address:** 191 TELLURIDE ST UNIT 5, BRIGHTON, CO 80601-4356
- **Practice address phone:** (303) 396-5923
- **Practice address fax:** (303) 957-5414
- **Mailing address:** 191 TELLURIDE ST UNIT 5, BRIGHTON, CO 80601-4356
- **Mailing address phone:** (033) 965-9233
- **Mailing address fax:** (303) 957-5414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/05/2015
- **Last updated:** 10/01/2024