Organization
WVU MEDICAL CORPORATION
Active
Other names
MEDICAL OFFICE BUILDING-BRIDGEPORT
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA M RUMBLE (PROVIDER ENROLLMENT SPECIALIST)
(304) 285-7101
Entity
Organization
Contact information
Practice address
227 MEDICAL PARK DRIVE, BRIDGEPORT, WV 26330-9010
(681) 342-3500
(681) 342-1957
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 285-7100
(304) 285-7126
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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