Organization
SPARTAN SLEEP SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY KATHLEEN BERGER (BILLER)
(360) 297-8805
Entity
Organization
Contact information
Practice address
21616 76TH AVE W STE 102, EDMONDS, WA 98026-7512
(425) 774-1538
Mailing address
PO BOX 2097, KINGSTON, WA 98346-2097
(360) 297-8805
(360) 297-1676
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD 00036316
WA
174400000X
Specialist
Primary
MD00024570
WA
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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