Organization
WEST VIRGINIA UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY GREGORY JUCKETT MD (ASSOC. PROFESSOR OF FAMILY MEDICINE)
(304) 293-1369
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER DR, WVU HEALTH SCIENCES CENTER, MORGANTOWN, WV 26506-9247
(304) 293-1369
(304) 293-2713
Mailing address
1 MEDICAL CENTER DR, WVU HEALTH SCIENCES CENTER, MORGANTOWN, WV 26506-9247
(304) 293-1369
(304) 293-2713
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
13865
WV
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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