Individual
DAVID ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
710 VENTURE DR, MORGANTOWN, WV 26508-7306
(304) 291-5533
(304) 291-5548
Mailing address
710 VENTURE DR, MORGANTOWN, WV 26508-7306
(304) 291-5533
(304) 291-5548
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
16613
WV
208D00000X
General Practice Physician
Primary
16613
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0044671000
—
WV
Enumeration date
07/28/2006
Last updated
09/11/2025
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