Organization
MILEGROUND PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORVAL LEROY RASMUSSEN MD (OWNER)
(304) 292-4996
Entity
Organization
Contact information
Practice address
1526 MILEGROUND RD, MORGANTOWN, WV 26505-3745
(304) 292-4996
(304) 292-9578
Mailing address
1526 MILEGROUND RD, MORGANTOWN, WV 26505-3745
(304) 292-4996
(304) 292-9578
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11609
WV
Other
Enumeration date
02/02/2007
Last updated
10/16/2007
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