NPI 1184472417
West Virginia University Medical Corporation
Practice location
- Address
- 880 N Tennessee Ave STE 110, Martinsburg, WV 25401-9401
- Phone
- (304) 596-6893
- Fax
- (304) 596-6845
- Mailing address
- PO Box 780, Morgantown, WV 26507-0780
Authorised official
- Name
- Justin Gibson
- Title
- Vp, Finance
- Phone
- (304) 598-4256
Registered specialties (2)
Obstetrics & Gynecology Physician
Primary
Registry record
- NPI
- 1184472417
- Entity type
- Organization
- NPI issued
- 10 May 2024
- Record last updated
- 10 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.