West Virginia University Medical Corporation
NPI #1457605404 in Bridgeport, West Virginia
Provider Information
- NPI Number
- 1457605404
- Entity Type
- Organization
- Organization Name
- West Virginia University Medical Corporation
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Oct 30, 2012
- Last Updated
- Oct 30, 2012
Practice Location
- Address
- 527 MEDICAL PARK DR
- Address 2
- SUITE 108
- City
- Bridgeport
- State
- West Virginia
- ZIP Code
- 26330-9008
- Phone
- (304) 848-2152
Authorized Official
- Name
- TERRY D MILLER
- Title
- PROVIDER ENROLLMENT SPECIALIST
- Phone
- (304) 285-7101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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