Provider Demographics
NPI:1457658197
Name:ROCKY MOUNTAIN SLEEP ASSOCIATES LLC
Entity Type:Organization
Organization Name:ROCKY MOUNTAIN SLEEP ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRADFORD
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT
Authorized Official - Phone:720-583-0537
Mailing Address - Street 1:12213 PECOS ST STE 500
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-3416
Mailing Address - Country:US
Mailing Address - Phone:720-583-0537
Mailing Address - Fax:
Practice Address - Street 1:12213 PECOS ST STE 500
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-3416
Practice Address - Country:US
Practice Address - Phone:720-583-0537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-15
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic