Uha Upper Trace (paasgrp) | |
Wvu & Route 220 South Upper Tract WV 26866-0000 | |
(304) 293-5033 | |
(304) 293-6963 |
Full Name | Uha Upper Trace (paasgrp) |
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Speciality | Family Medicine |
Location | Wvu & Route 220 South, Upper Tract, West Virginia |
Authorized Official Name and Position | Terry D Miller (PROVIDER RELATIONS ANALYST) |
Authorized Official Contact | 3042935033 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Uha Upper Trace (paasgrp) Po Box 897 Morgantown WV 26507-0897 Ph: (304) 293-5033 | Uha Upper Trace (paasgrp) Wvu & Route 220 South Upper Tract WV 26866-0000 Ph: (304) 293-5033 |
NPI Number | 1700093291 |
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Provider Enumeration Date | 05/16/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1700093291 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 0007384014 (West Virginia) | Primary |