Organization
SLEEP WELL STL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN HARTMAN (OWNER)
(314) 401-1878
Entity
Organization
Contact information
Practice address
2690 GRAVOIS RD, HIGH RIDGE, MO 63049-2508
(314) 401-1878
Mailing address
2690 GRAVOIS RD, HIGH RIDGE, MO 63049-2508
(314) 401-1878
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
496820112
NA
MO
Enumeration date
10/02/2018
Last updated
10/02/2018
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