Individual
MIA J SHILOBOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1300 FORT PIERPONT DR STE 101, MORGANTOWN, WV 26508
(304) 241-7150
(304) 599-8917
Mailing address
6000 MEMORIAL CHURCH DRIVE, MORGANTOWN, WV 26501
(304) 292-7316
(304) 599-8917
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
01143
WV
Other
Enumeration date
03/23/2006
Last updated
11/14/2018
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