| Wvupc Internal Medicine (paasgrp) | |
|
Wvu F 3200 Maccorkle Ave Se Clin D Charleston WV 25304-0000 | |
| (304) 293-5033 | |
| (304) 293-6963 |
| Full Name | Wvupc Internal Medicine (paasgrp) |
|---|---|
| Speciality | Internal Medicine |
| Location | Wvu F 3200 Maccorkle Ave Se Clin D, Charleston, West Virginia |
| Authorized Official Name and Position | Terry Miller (PROVIDER RELATIONS ANALYST) |
| Authorized Official Contact | 3042937401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wvupc Internal Medicine (paasgrp) P O Box 7000 Morgantown WV 26507-7000 Ph: (304) 293-5033 | Wvupc Internal Medicine (paasgrp) Wvu F 3200 Maccorkle Ave Se Clin D Charleston WV 25304-0000 Ph: (304) 293-5033 |
| NPI Number | 1194932590 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194932590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 3200990000 (West Virginia) | Primary |
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