| Uha Upper Trace (paasgrp) | |
|
Wvu & Route 220 South Upper Tract WV 26866-0000 | |
| (304) 293-5033 | |
| (304) 293-6963 |
| Full Name | Uha Upper Trace (paasgrp) |
|---|---|
| Speciality | Family Medicine |
| Location | Wvu & Route 220 South, Upper Tract, West Virginia |
| Authorized Official Name and Position | Terry D Miller (PROVIDER RELATIONS ANALYST) |
| Authorized Official Contact | 3042935033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uha Upper Trace (paasgrp) Po Box 897 Morgantown WV 26507-0897 Ph: (304) 293-5033 | Uha Upper Trace (paasgrp) Wvu & Route 220 South Upper Tract WV 26866-0000 Ph: (304) 293-5033 |
| NPI Number | 1700093291 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700093291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0007384014 (West Virginia) | Primary |