Organization
GREAT PLAINS SLEEP SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CASSIDY CAGLE RPSGT (VICE PRESIDENT)
(918) 577-6963
Entity
Organization
Contact information
Practice address
1317 S DEWEY AVE, WAGONER, OK 74467-7013
(918) 577-6963
(918) 577-6965
Mailing address
PO BOX 893, WAGONER, OK 74477-0893
(918) 577-6963
(918) 577-6965
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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