Wvupc-medicine & Specialty Office

NPI 1568769354 - Clinic/Center - 261QM2500X

NPI Details
NPI 1568769354
Enumeration Date 02/15/2011
Last Updated 02/15/2011
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name TERRY D TERRY
Position PROVIDER RELATIONS ANALYST
Phone (304) 347-1296
Fax (304) 347-1394
Practice Location
4522 MACCORKLE AVE SE
CHARLESTON WV, 25304-1840, US
Phone (304) 347-1296
Fax (304) 347-1394
Business Location
PO BOX 7000
MORGANTOWN WV, 26507-7000, US
Phone (304) 293-7401
Fax
Toxanomy
Taxonomy Code 261QM2500X
License State
License Number
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According to our database, Wvupc-medicine & Specialty Office NPI is 1568769354, taxonomy code is 261QM2500X Wvupc-medicine & Specialty Office physically located at 4522 Maccorkle Ave Se, Charleston WV, 25304-1840. NPI Number 1033115704 has the healthcare provider type.

1568769354 NPI number is provided on an as is basis without warranty of any kind. 1568769354 is maintained by the National Plan & Provider Enumeration System. The contents of Wvupc-medicine & Specialty Office are for informational purposes only.