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Organization

DELTA WAVES OF WOODLAND PARK INC

Active
Other names
Delta Waves of Pueblo
Organization subpart
No

Provider details

NPI number
Authorized official
RANDALL LOWELL ANDERSON (PRESIDENT)
(719) 262-9283
Entity
Organization

Contact information

Practice address
3921 OUTLOOK BLVD, STE D, PUEBLO, CO 81008-1580
(719) 583-9283
(719) 583-9285
Mailing address
5835 LEHMAN DR, STE. 101, COLORADO SPRINGS, CO 80918-3408
(719) 262-9283
(719) 262-9285

Taxonomy

Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary

Other

Enumeration date
05/19/2010
Last updated
05/19/2010
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