Individual
TIMOTHY PAUL GOLDHARDT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506
(304) 598-3929
(304) 598-4930
Mailing address
PO BOX 8255, 1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506
(304) 598-3929
(304) 598-4930
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
27477
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2014
Last updated
04/08/2022
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