NPI 1215785597

West Virginia University Medical Corporation

Organisation Podiatrist Martinsburg, WV

Practice location

Address: 61 Campus Dr STE 104, Martinsburg, WV 25404-7542
Phone: (304) 596-5615
Fax: (304) 263-5826
Mailing address: PO Box 780, Morgantown, WV 26507-0780

Authorised official

Name: Justin Gibson
Title: Vp, Finance
Phone: (304) 598-4256

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X

Other Podiatrist providers in West Virginia →

Registry record

NPI: 1215785597
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.