Organization
KOKOMO SLEEP CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARO MAYDA M.D. (PHYSICIAN)
(765) 453-8504
Entity
Organization
Contact information
Practice address
1542 DIXON ROAD, SUITE G/H, KOKOMO, IN 46902
(765) 453-8504
Mailing address
1542 DIXON ROAD, SUITE G/H, KOKOMO, IN 46902
(765) 453-8504
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2006
Last updated
11/05/2007
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