| Wvu Med Corp (mdgrp) | |
|
255 Scott Ave Morgantown WV 26508-8803 | |
| (304) 293-5033 | |
| (304) 293-6963 |
| Full Name | Wvu Med Corp (mdgrp) |
|---|---|
| Speciality | Family Medicine |
| Location | 255 Scott Ave, Morgantown, 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 |
|---|---|
| Wvu Med Corp (mdgrp) P O Box 780 Morgantown WV 26507-0780 Ph: (304) 293-5033 | Wvu Med Corp (mdgrp) 255 Scott Ave Morgantown WV 26508-8803 Ph: (304) 293-5033 |
| NPI Number | 1467667030 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467667030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0011526000 (West Virginia) | Primary |
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