Organization
SLEEP TEMPLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN RICHARD WOOD (OWNER)
(304) 612-8381
Entity
Organization
Contact information
Practice address
RR 2 BOX 369, FAIRMONT, WV 26554-9566
(304) 612-8381
Mailing address
RR 2 BOX 369, FAIRMONT, WV 26554-9566
(304) 612-8381
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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