Organization
SLEEP EVALUATION CENTER - WVU
Active
Organization
SLEEP EVALUATION CENTER - WVU
Active
Parent organization
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Authorized official
ROBYN M MCDANIEL (PROVIDER RELATIONS SUPERVISOR)
(304) 293-5033
Entity
Organization
Contact information
Practice address
205 BAKERS RIDGE RD, MORGANTOWN, WV 26508-1500
(304) 598-4285
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011526000
—
WV
Enumeration date
10/02/2009
Last updated
10/02/2009
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