# USA VASCULAR CENTER OF MORGANTOWN PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235754581
- **Authorized official:** AMI ALMEDA (CREDENTIALING MANAGER)
- **Authorized official phone:** (224) 318-0118

## Contact information

- **Practice address:** 1010 SUNCREST TOWNE CENTRE, MORGANTOWN, WV 26505
- **Practice address phone:** (847) 593-8460
- **Practice address fax:** (224) 235-4652
- **Mailing address:** PO BOX 791, NORTHBROOK, IL 60065-0791
- **Mailing address phone:** (847) 593-8460
- **Mailing address fax:** (224) 235-4652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2020
- **Last updated:** 06/12/2020