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Organization

BONNIE BUS - WVU

Active
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Organization

BONNIE BUS - WVU

Active
Parent organization
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Authorized official
ANDREA M RUMBLE (PROVIDER RELATIONS SUPERVISOR)
(304) 285-7101
Entity
Organization

Contact information

Practice address
101 STADIUM DR, MORGANTOWN, WV 26506-7911
(304) 598-4000
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 285-7100

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011526000
WV
Enumeration date
09/30/2009
Last updated
08/21/2012
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