NPI 1134679798

Veterans Health Administration

Organisation Clinic/Center Clarksburg, WV

Practice location

Address: 1 Med Center Dr, Clarksburg, WV 26301-4155
Phone: (304) 623-3461
Mailing address: 1 Med Center Dr, Clarksburg, WV 26301

Authorised official

Name: Letitia Jean Golden
Title: Nurse Practitioner
Phone: (304) 623-3461

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence 77023 (WV)

Other Clinic/Center providers in West Virginia →

Registry record

NPI: 1134679798
Entity type: Organization
NPI issued: 7 Oct 2016
Record last updated: 7 Oct 2016

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.