| Wvu Med Corp Mgp Int Med Clinic(paas) | |
|
1 Stadium Drive Morgantown WV 26506 | |
| (304) 293-5033 | |
| (304) 293-6963 |
| Full Name | Wvu Med Corp Mgp Int Med Clinic(paas) |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Stadium Drive, Morgantown, 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 |
|---|---|
| Wvu Med Corp Mgp Int Med Clinic(paas) Po Box 897 Morgantown WV 26507-0897 Ph: (304) 293-5033 | Wvu Med Corp Mgp Int Med Clinic(paas) 1 Stadium Drive Morgantown WV 26506 Ph: (304) 293-5033 |
| NPI Number | 1275748477 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275748477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0007384000 (West Virginia) | Primary |
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