West Virginia University Medical Corporation

NPI #1518751858 in Oakland, Maryland

Provider Information

NPI Number: 1518751858
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: Urology
Enumeration Date: Apr 9, 2025
Last Updated: Apr 9, 2025

Practice Location

Address: 880 MEMORIAL DR
City: Oakland
State: Maryland
ZIP Code: 21550-5114
Phone: (304) 598-4890

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Physician Assistant	363A00000X
Urology	208800000X	Primary

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