West Virginia University Medical Corporation

NPI #1346098837 in Charles Town, West Virginia

Provider Information

NPI Number: 1346098837
Entity Type: Organization
Organization Name: West Virginia University Medical Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Primary Specialty: Emergency Medicine
Enumeration Date: May 9, 2024
Last Updated: May 9, 2024

Practice Location

Address: 912 SOMERSET BLVD STE 102
City: Charles Town
State: West Virginia
ZIP Code: 25414-3954
Phone: (304) 725-2273

Authorized Official

Name: JUSTIN GIBSON
Title: VP, FINANCE
Phone: (304) 598-4256

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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