Individual
JEFFREY GARAVAGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4000
Mailing address
379 JACOBS DR, MORGANTOWN, WV 26505-7201
(314) 640-6655
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
Primary
RP0007721
WV
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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