Premise Health of West Virginia Medical, Medical Corporation
NPI #1790155497 in Morgantown, West Virginia
Provider Information
- NPI Number
- 1790155497
- Entity Type
- Organization
- Organization Name
- Premise Health of West Virginia Medical, Medical Corporation
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Oct 7, 2015
- Last Updated
- Aug 15, 2022
Practice Location
- Address
- 5005 GREENBAG RD
- City
- Morgantown
- State
- West Virginia
- ZIP Code
- 26501-7124
- Phone
- (304) 554-5012
Authorized Official
- Name
- DR. JONATHAN B LEIZMAN, MD
- Title
- PRESIDENT
- Phone
- (844) 407-7557
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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