Organization
UNIVERSITY ORTHOPEDICS & SPORTS MEDICINE
Active
Other names
University Health Associates
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA RUMBLE (PROVIDER ENROLLMENT SPECIALIST)
(304) 285-7101
Entity
Organization
Contact information
Practice address
201 E 5TH AVE STE 2, RANSON, WV 25438-1677
(304) 725-2663
(304) 724-0053
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 285-7100
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
09/06/2012
Last updated
10/01/2012
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