Organization
WEST VIRGINIA UNIVERSITY PHYSICIANS OF CHARLESTON OAKHURST DRIVE
Active
Parent organization
WEST VIRGINIA UNIVERSITY PHYSICIANS OF CHARLESTON
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST VIRGINIA UNIVERSITY PHYSICIANS OF CHARLESTON
Authorized official
ROBYN M MCDANIEL (PROVIDER RELATIONS SUPERVISOR)
(304) 293-5033
Entity
Organization
Contact information
Practice address
1003 OAKHURST DR, CHARLESTON, WV 25314-2044
(304) 345-4455
Mailing address
PO BOX 7000, MORGANTOWN, WV 26507-7000
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4002106000
—
WV
Enumeration date
10/28/2008
Last updated
10/29/2008
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