Individual
STEPHEN PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506
(304) 598-4800
Mailing address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
23065
WV
208000000X
Pediatrics Physician
MD057257L
PA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
23065
WV
2080P0207X
Pediatric Hematology & Oncology Physician
MD057257L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015493170004
—
PA
Enumeration date
10/13/2005
Last updated
04/13/2022
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