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Individual

DR. PATRICIA JO THOMSON MALONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9000 COOMBS FARM RD STE 102, MORGANTOWN, WV 26508-1150
(304) 599-8000
(304) 599-8003
Mailing address
1247 SUNCREST TOWN CENTRE DR, MORGANTOWN, WV 26505-1876
(304) 599-8000
(304) 599-8003

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22314
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810006394
WV
Enumeration date
07/12/2006
Last updated
04/01/2020
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