Organization
MORGANTOWN ENT AND NEUROLOGY-SUNCREST
Active
Organization
MORGANTOWN ENT AND NEUROLOGY-SUNCREST
Active
Other names
University Health Associates
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA RUMBLE (PROBVIDER ENROLLMENT)
(304) 285-7101
Entity
Organization
Contact information
Practice address
1065 SUNCREST TOWNE CENTRE DRIVE, MORGANTOWN, PA 26505-2712
(304) 599-3959
(304) 599-7329
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 285-7100
(304) 285-7126
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
231H00000X
Audiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011526000
—
WV
Enumeration date
05/16/2013
Last updated
08/29/2013
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