Individual
JUSTINE A PAGENHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 WHEELING AVE, GLEN DALE, WV 26038-1660
(304) 843-3313
Mailing address
PO BOX 780, WEST VIRGINIA UNIVERSITY HOSPITALS, MORGANTOWN, WV 26507-0780
(304) 285-7101
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25613
WV
Other
Enumeration date
04/02/2012
Last updated
10/15/2024
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