Organization
WVU MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOEL DESANTOS IBANEZ MD (RESIDENT)
(304) 617-7630
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26505-3469
(304) 598-4000
Mailing address
1228 VAN VOORHIS RD, F-4, MORGANTOWN, WV 26505-3469
(304) 617-7630
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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