Individual
DR. JEREMY DANIEL HUSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DRIVE, ROOM 4601, MORGANTOWN, WV 26506-8121
(304) 293-5323
(304) 293-8724
Mailing address
1 MEDICAL CENTER DRIVE, ROOM 4601, MORGANTOWN, WV 26506-8121
(304) 293-5323
(304) 293-8724
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
27683
WV
2084P0800X
Psychiatry Physician
27683
WV
2084P0802X
Addiction Psychiatry Physician
Primary
27683
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2015
Last updated
04/18/2022
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