Individual
SUSAN C CAPELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3496 UNIVERSITY AVE, MORGANTOWN, WV 26505-3001
(304) 599-7075
(304) 581-6800
Mailing address
3496 UNIVERSITY AVE, MORGANTOWN, WV 26505-3001
(304) 599-7075
(304) 581-6800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
20147
WV
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
20147
WV
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
20147
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6200220000
—
WV
Enumeration date
05/16/2006
Last updated
06/05/2017
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