Individual
JOSHUA T KOTOUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 STADIUM DR, MORGANTOWN, WV 26506-7911
(304) 598-4000
Mailing address
PO BOX 897, MORGANTOWN, WV 26507-0897
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26945
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051557034
—
AL
05
—
3810002340
—
WV
01
—
P00231782
RAILROAD MEDICARE
WV
Enumeration date
04/28/2006
Last updated
10/28/2008
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