# MILEGROUND PHYSICIANS, PLLC

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

## Provider details

- **NPI number:** 1457499519
- **Authorized official:** DR. NORVAL LEROY RASMUSSEN MD (OWNER)
- **Authorized official phone:** (304) 292-4996

## Contact information

- **Practice address:** 1526 MILEGROUND RD, MORGANTOWN, WV 26505-3745
- **Practice address phone:** (304) 292-4996
- **Practice address fax:** (304) 292-9578
- **Mailing address:** 1526 MILEGROUND RD, MORGANTOWN, WV 26505-3745
- **Mailing address phone:** (304) 292-4996
- **Mailing address fax:** (304) 292-9578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 11609 | WV | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 10/16/2007