Individual
MASON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4000
(304) 598-4124
Mailing address
4003 TEABERRY LN, MORGANTOWN, WV 26508-9144
(304) 890-4849
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IN0010390
WV
Other
Enumeration date
05/28/2025
Last updated
09/03/2025
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