Wvupc-Women & Childrens Staff

NPI #1174777502 in Charleston, West Virginia

Provider Information

NPI Number: 1174777502
Entity Type: Organization
Organization Name: Wvupc-Women & Childrens Staff
Subpart: Yes (part of a larger organization)
Parent Organization: WEST VIRGINIAN UNIVERSITY PHYSICIANS OF CHARLESTON
Primary Specialty: Family Medicine
Enumeration Date: Nov 12, 2008
Last Updated: Nov 12, 2008

Practice Location

Address: 830 PENN AVE
City: Charleston
State: West Virginia
ZIP Code: 25302-3302
Phone: (304) 388-1552

Authorized Official

Name: ROBYN M MCDANIEL
Title: PROVIDER RELATIONS SUPERVISOR
Phone: (304) 293-5033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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