Organization
WVUPC-WOMEN & CHILDRENS STAFF
Active
Parent organization
WEST VIRGINIAN UNIVERSITY PHYSICIANS OF CHARLESTON
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST VIRGINIAN UNIVERSITY PHYSICIANS OF CHARLESTON
Authorized official
ROBYN M MCDANIEL (PROVIDER RELATIONS SUPERVISOR)
(304) 293-5033
Entity
Organization
Contact information
Practice address
830 PENN AVE, CHARLESTON, WV 25302-3302
(304) 388-1552
Mailing address
PO BOX 7000, MORGANTOWN, WV 26507-7000
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4002106000
—
WV
Enumeration date
11/12/2008
Last updated
11/12/2008
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