Organization
ROGER S. BARCLAY M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER STEVENSON BARCLAY M.D. (PHYSICIAN/OWNER)
(304) 599-0563
Entity
Organization
Contact information
Practice address
200 WEDGEWOOD DR, SUITE 102, MORGANTOWN, WV 26505-2442
(304) 599-0563
(304) 599-0564
Mailing address
200 WEDGEWOOD DR, SUITE 102, MORGANTOWN, WV 26505-2442
(304) 599-0563
(304) 599-0564
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11530
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007133500
—
WV
01
—
BA0525132
MEDICARE UNSPECIFIED
WV
Enumeration date
08/27/2012
Last updated
08/27/2012
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