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Organization

WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION

Active
Parent organization
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Authorized official
JUSTIN GIBSON (VP OF FINANCE)
(304) 598-4256
Entity
Organization

Contact information

Practice address
33 MEDICAL CENTER DR, MORGANTOWN, WV 26505-4024
(304) 598-4740
(304) 293-3766
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
207T00000X
Neurological Surgery Physician
208100000X
Physical Medicine & Rehabilitation Physician
2084N0400X
Neurology Physician
Primary
2085N0700X
Neuroradiology Physician
225100000X
Physical Therapist
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
04/09/2025
Last updated
04/09/2025
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