Organization
PREMIER SLEEP CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY MICHAEL STAMPER (OWNER)
(318) 537-9320
Entity
Organization
Contact information
Practice address
2332 STERLINGTON RD, MONROE, LA 71203-3044
(318) 537-9320
(318) 537-9323
Mailing address
2332 STERLINGTON RD, MONROE, LA 71203-3044
(318) 537-9320
(318) 537-9323
Taxonomy
Speciality
Code
Description
License number
State
173F00000X
Sleep Specialist (PhD)
Primary
MD014425
LA
Other
Enumeration date
02/10/2011
Last updated
02/10/2011
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