Individual
CATHY MARIE FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2000 PROFESSIONAL CT, SUITE A, MARTINSBURG, WV 25401-8803
(304) 264-9837
(304) 264-9838
Mailing address
PO BOX 763, MORGANTOWN, WV 26507-0763
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19928
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2003209000
—
WV
Enumeration date
10/18/2006
Last updated
04/07/2022
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