Organization
SLEEP MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE D ROBINS (MEMBER/MANAGER)
(801) 254-2895
Entity
Organization
Contact information
Practice address
5323 S WOODROW ST, STE 205, MURRAY, UT 84107-5841
(801) 254-2895
(801) 254-4715
Mailing address
5323 S WOODROW ST, STE 205, MURRAY, UT 84107-5841
(801) 254-2895
(801) 254-4715
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
78920080160
UT
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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