Individual
MR. HAROLD BLAINE MARTIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(304) 216-8510
Mailing address
238 TIDE WAY, MORGANTOWN, WV 26508-1800
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
LRTR1783
WV
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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