Individual
DR. JOHN YACOUB NASR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506
(304) 293-4123
(304) 285-7126
Mailing address
PO BOX 9156, MORGANTOWN, WV 26506-9156
(304) 293-4123
(304) 285-7126
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD444706
PA
207RG0100X
Gastroenterology Physician
Primary
26159
WV
207RG0100X
Gastroenterology Physician
MD444706
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027538460001
—
PA
05
—
3810028541
—
WV
Enumeration date
01/06/2009
Last updated
01/22/2024
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