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Organization

WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION

Active
Parent organization
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Authorized official
JUSTIN GIBSON (VP, FINANCE)
(304) 598-4256
Entity
Organization

Contact information

Practice address
300 S PRESTON ST, RANSON, WV 25438-1631
(304) 728-1795
(304) 728-1796
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 285-7101
(304) 293-6963

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207RP1001X
Pulmonary Disease Physician
207RR0500X
Rheumatology Physician
207V00000X
Obstetrics & Gynecology Physician
207X00000X
Orthopaedic Surgery Physician
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2080N0001X
Neonatal-Perinatal Medicine Physician
2085R0202X
Diagnostic Radiology Physician
2085R0204X
Vascular & Interventional Radiology Physician
208600000X
Surgery Physician
208M00000X
Hospitalist Physician
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
05/10/2024
Last updated
05/10/2024
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