Individual
BRANDON LEE COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(855) 988-2273
Mailing address
107 STAUNTON DR, WESTON, WV 26452-5604
(304) 269-2022
(304) 269-2037
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0008580
MD
363A00000X
Physician Assistant
C5-0011853
DE
363A00000X
Physician Assistant
Primary
—
WV
Other
Enumeration date
10/05/2020
Last updated
06/03/2024
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