Uha Ped-adoles Grp Pract (paasgrp)

NPI 1427263664 - Pediatrics - 2080A0000X

NPI Details
NPI 1427263664
Enumeration Date 05/11/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TERRY D TERRY
Position PROVIDER RELATIONS ANALSYT
Phone (304) 293-5033
Fax (304) 293-6963
Practice Location
1 STADIUM DRIVE
MORGANTOWN WV, 26506, US
Phone (304) 293-5033
Fax (304) 293-6963
Business Location
PO BOX 897
MORGANTOWN WV, 26507-0897, US
Phone (304) 293-5033
Fax (304) 293-6963
Toxanomy
Taxonomy Code 2080A0000X
License State West Virginia
License Number 0007384008
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According to our database, Uha Ped-adoles Grp Pract (paasgrp) NPI is 1427263664, taxonomy code is 2080A0000X and license number is 0007384008, license state is located at West Virginia. Uha Ped-adoles Grp Pract (paasgrp) physically located at 1 Stadium Drive, Morgantown WV, 26506. NPI Number 1033115704 has the healthcare provider type.

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1427263664 NPI number is provided on an as is basis without warranty of any kind. 1427263664 is maintained by the National Plan & Provider Enumeration System. The contents of Uha Ped-adoles Grp Pract (paasgrp) are for informational purposes only.