Organization
MORGANTOWN ORTHOTIC & PROSTHETIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GORMAN (PRESIDENT)
(304) 598-0528
Entity
Organization
Contact information
Practice address
360 W LIBERTY ST, OAKLAND, MD 21550-1237
(301) 533-4404
(304) 598-0527
Mailing address
7000 HAMPTON CTR STE A, MORGANTOWN, WV 26505-1720
(304) 598-0528
(304) 598-0527
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
09/17/2019
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