| Organization Name: | PACIFIC SLEEP MEDICINE A MEDICAL CORP |
| NPI Number: | 1265601264 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MILTON K ERMAN (MEDICAL CHIEF OFFICER) |
| Mailing Address: | 14225 University Ave Suite 140 Waukee |
| State: | IA US |
| Postal Code: | 502638294 |
| Phone Number: | 5152260900 |
| Fax Number: | 5152260662 |
| NPI Enumeration Date: | 02/22/2008 |
| NPI Last Update Date: | 02/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Sleep Disorder Diagnostic |
| Taxonomy Definition: | |