Wvu Med Corp Mgp Int Med Clinic(paas)

NPI #1275748477 in Morgantown, West Virginia

Provider Information

NPI Number: 1275748477
Entity Type: Organization
Organization Name: Wvu Med Corp Mgp Int Med Clinic(paas)
Primary Specialty: Internal Medicine
Enumeration Date: May 11, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1 STADIUM DRIVE
City: Morgantown
State: West Virginia
ZIP Code: 26506
Phone: (304) 293-5033

Authorized Official

Name: TERRY D MILLER
Title: PROVIDER RELATIONS ANALYST
Phone: (304) 293-5033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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