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Organization

WVU 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 OF FINANCE)
(304) 598-4256
Entity
Organization

Contact information

Practice address
10 MEDICAL CENTER DR, MORGANTOWN, WV 26505-3409
(304) 598-4500
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
208VP0000X
Pain Medicine Physician
Primary
208VP0014X
Interventional Pain Medicine Physician

Other

Enumeration date
08/28/2025
Last updated
08/28/2025
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