Organization
WH SOMNOGRAPHY INC.
Active
Other names
Sleep Diagnostic Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT T HAKE RRT (PRESIDENT)
(573) 449-0015
Entity
Organization
Contact information
Practice address
1511 CHAPEL HILL, STE 103, COLUMBIA, MO 65203
(573) 449-0015
(573) 449-0189
Mailing address
503 E NIFONG #223, COLUMBIA, MO 65201
(573) 449-0015
(573) 449-0189
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
717504104
—
MO
Enumeration date
07/12/2006
Last updated
05/09/2017
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