NPI 1023866845
West Virginia University Medical Corporation
Practice location
- Address
- 912 Somerset Blvd STE 101, Charles Town, WV 25414-3954
- Phone
- (304) 725-2663
- Fax
- (304) 724-0053
- Mailing address
- PO Box 780, Morgantown, WV 26507-0780
Authorised official
- Name
- Justin Gibson
- Title
- Vp, Finance
- Phone
- (304) 598-4256
Registered specialties (2)
Orthopaedic Surgery Physician
Primary
Sports Medicine (Orthopaedic Surgery) Physician
Registry record
- NPI
- 1023866845
- Entity type
- Organization
- NPI issued
- 7 May 2024
- Record last updated
- 7 May 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.