NPI 1457605404
West Virginia University Medical Corporation
Practice location
- Address
- 527 Medical Park Dr Suite 108, Bridgeport, WV 26330-9008
- Phone
- (304) 848-2152
- Mailing address
- P O Box 780, Morgantown, WV 26507-0780
Authorised official
- Name
- Terry D Miller
- Title
- Provider Enrollment Specialist
- Phone
- (304) 285-7101
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1457605404
- Entity type
- Organization
- NPI issued
- 30 Oct 2012
- Record last updated
- 30 Oct 2012
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.