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Organization

ORTHOPEDICS-WVU SMC-OTPT HOSP

Active
Other names
University Health Associates
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC PILON (RCO COORDINATOR)
(304) 285-7101
Entity
Organization

Contact information

Practice address
943 MAPLE DRIVE, MORGANTOWN, WV 26505-2812
(304) 598-4830
(304) 598-4847
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 285-7100
(304) 285-7126

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011526000
WV
Enumeration date
11/09/2012
Last updated
11/09/2012
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