Individual
JESSICA NEIDHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(681) 342-1000
Mailing address
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506-9149
(304) 293-7215
(304) 293-6702
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27851
WV
Other
Enumeration date
04/21/2015
Last updated
04/08/2022
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