Individual
MATTHEW BRADFORD UPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6A BANK ST, NITRO, WV 25143-1708
(304) 306-3058
(304) 306-3059
Mailing address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 414-4800
(304) 414-4801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18216
WV
Other
Enumeration date
03/27/2006
Last updated
01/11/2021
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