Individual
STACI JONES THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
608 CHEAT RD, MORGANTOWN, WV 26508-4210
(304) 594-1313
(304) 594-2408
Mailing address
PO BOX 1127, MORGANTOWN, WV 26507-1127
(304) 598-4032
(304) 598-4143
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20750
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012400040001
—
PA
05
—
1808409000
—
WV
05
—
404274300
—
MD
Enumeration date
07/13/2006
Last updated
04/18/2022
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