Organization
UTAH SLEEP MEDICINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS S. ROSS M.D. (DIRECTOR)
(801) 357-7878
Entity
Organization
Contact information
Practice address
1055 N 300 W, SUITE 402, PROVO, UT 84604-3344
(801) 357-7878
(801) 812-2859
Mailing address
1055 N 300 W, SUITE 402, PROVO, UT 84604-3344
(801) 357-7878
(801) 812-2859
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
48276390160
UT
Other
Enumeration date
08/23/2006
Last updated
06/17/2008
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