# SLEEP DISORDERS CLINIC, PLLC

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

## Provider details

- **NPI number:** 1265953780
- **Authorized official:** MARY JEAN WALKER (APRN)
- **Authorized official phone:** (801) 938-5362

## Contact information

- **Practice address:** 688 E UNION SQ \# 101, SANDY, UT 84070-3403
- **Practice address phone:** (801) 631-5979
- **Mailing address:** 688 E UNION SQ \# 101, SANDY, UT 84070-3403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1888684405 | UT | Yes |

## Other

- **Enumeration date:** 07/06/2017
- **Last updated:** 06/16/2018
