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Organization
WEST VIRGINIA UNIVERSITY
Active
Organization
WEST VIRGINIA UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY GREGORY JUCKETT MD (ASSOC. PROFESSOR OF FAMILY MEDICINE)
(304) 293-1369
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER DR, WVU HEALTH SCIENCES CENTER, MORGANTOWN, WV 26506-9247
(304) 293-1369
(304) 293-2713
Mailing address
1 MEDICAL CENTER DR, WVU HEALTH SCIENCES CENTER, MORGANTOWN, WV 26506-9247
(304) 293-1369
(304) 293-2713
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
13865
WV
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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