Organization
STATE OF WEST VIRGINIA CONCORD UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUGH DAVID CAMPBELL PHD (DIRECTOR OF HEALTH SERVICES)
(304) 384-5331
Entity
Organization
Contact information
Practice address
1000 VERMILLION ST, ATHENS, WV 24712-9027
(304) 384-7325
Mailing address
PO BOX 1000, ATHENS, WV 24712-1000
(304) 384-5608
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
2255A2300X
Athletic Trainer
—
—
261QS1000X
Student Health Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/03/2019
Last updated
11/29/2023
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