Organization
BRIGHTON CENTER FOR SLEEP DISORDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OFELIA BURGOS (AUTHORIZED OFFICIAL)
(305) 500-2114
Entity
Organization
Contact information
Practice address
36 S 18TH AVE, SUITE A, BRIGHTON, CO 80601-2412
(303) 654-9748
(303) 654-9749
Mailing address
112 MELLON ST, BECKLEY, WV 25801-3536
(304) 254-9090
(304) 254-8802
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63239833
—
CO
Enumeration date
04/18/2006
Last updated
11/16/2010
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