Mountain State Sleep Center, INC

NPI #1801171012 in Morgantown, West Virginia

Provider Information

NPI Number: 1801171012
Entity Type: Organization
Organization Name: Mountain State Sleep Center, INC
Primary Specialty: Internal Medicine - Sleep Medicine
Enumeration Date: Oct 19, 2011
Last Updated: Dec 1, 2011

Practice Location

Address: 1194 PINEVIEW DR
City: Morgantown
State: West Virginia
ZIP Code: 26505-2712
Phone: (305) 599-1100

Authorized Official

Name: MR. MOUHANNAD AZZOUZ, MD
Title: MEDICAL DIRECTOR
Phone: (304) 599-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Sleep Medicine — Sleep Medicine	207RS0012X	Primary

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