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Individual

MRS. STACY L FORST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-6984
Mailing address
2 FALLING WATER LN, MORGANTOWN, WV 26508-4498
(260) 417-1245

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10000517A
IN
363AM0700X
Medical Physician Assistant
Primary
WV1617
WV

Other

Enumeration date
08/11/2005
Last updated
01/25/2023
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