Mileground Physicians, Pllc | |
1526 Mileground Rd Morgantown WV 26505-3745 | |
(304) 292-4996 | |
(304) 292-9578 |
Full Name | Mileground Physicians, Pllc |
---|---|
Speciality | General Practice |
Location | 1526 Mileground Rd, Morgantown, West Virginia |
Authorized Official Name and Position | Norval Leroy Rasmussen (OWNER) |
Authorized Official Contact | 3042924996 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mileground Physicians, Pllc 1526 Mileground Rd Morgantown WV 26505-3745 Ph: (304) 292-4996 | Mileground Physicians, Pllc 1526 Mileground Rd Morgantown WV 26505-3745 Ph: (304) 292-4996 |
NPI Number | 1457499519 |
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Provider Enumeration Date | 02/02/2007 |
Last Update Date | 10/16/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457499519 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 11609 (West Virginia) | Primary |
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