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Organization
WEST VIRGINIA UNIVESITY MEDICAL CORPORATION
Active
Organization
WEST VIRGINIA UNIVESITY MEDICAL CORPORATION
Active
Parent organization
WVU MEDICAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
WVU MEDICAL CORPORATION
Authorized official
JUSTIN GIBSON (VP OF FINANCE)
(304) 598-4256
Entity
Organization
Contact information
Practice address
1325 LOCUST AVE FL 3C, FAIRMONT, WV 26554-1435
(304) 534-7810
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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