Organization
SLEEP CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER DITTMER ED.D (MANAGING PARTNER)
(801) 691-1556
Entity
Organization
Contact information
Practice address
417 N OREM BLVD, SUITE 417, OREM, UT 84057
(801) 691-1556
Mailing address
417 N OREM BLVD, SUITE 417, OREM, UT 84057-8813
(801) 691-1556
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2015
Last updated
03/18/2016
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