Individual
DR. PHONG THANH VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26505
(304) 293-2342
(302) 293-3352
Mailing address
1 MEDICAL CENTER DRIVE, ROOM 7500 P.O. BOX 9180, MORGANTOWN, WV 26505
(304) 293-2342
(304) 293-3352
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101283226
VA
2084N0400X
Neurology Physician
Primary
29195
WV
2084V0102X
Vascular Neurology Physician
0101283226
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
WV
Other
Enumeration date
04/04/2016
Last updated
09/09/2024
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