Matthew Wade Bunner

NPI 1063804714 - Counselor - 101YP2500X

NPI Details
NPI 1063804714
Gender Male
Enumeration Date 03/04/2015
Last Updated 03/04/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
930 CHESTNUT RIDGE RD
MORGANTOWN WV, 26505-2807, US
Phone (304) 293-5323
Fax
Business Location
PO BOX 780
MORGANTOWN WV, 26507-0780, US
Phone (304) 285-7101
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State West Virginia
License Number 243
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According to our database, Matthew Wade Bunner NPI is 1063804714, taxonomy code is 101YP2500X and license number is 243, license state is located at West Virginia. Matthew Wade Bunner physically located at 930 Chestnut Ridge Rd, Morgantown WV, 26505-2807. NPI Number Matthew Wade Bunner has the Individual type.

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1063804714 NPI number is provided on an as is basis without warranty of any kind. 1063804714 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Wade Bunner are for informational purposes only.