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UHA PED-ADOLES GRP PRACT (PAASGRP) NPI 1427263664


NPI Information

NPI: 1427263664
Provider Name: UHA PED-ADOLES GRP PRACT (PAASGRP)
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
1 STADIUM DRIVE
MORGANTOWN, WV
ZIP 26506
Phone: (304) 293-5033
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UHA PED-ADOLES GRP PRACT (PAASGRP) is an adolescent medicine pediatrics in Morgantown, WV. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. UHA PED-ADOLES GRP PRACT (PAASGRP) NPI is 1427263664. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 STADIUM DRIVE
MORGANTOWN, WV
ZIP 26506
Phone: (304) 293-5033
Fax: (304) 293-6963

The provider's authorized official is Terry D Miller .
The authorized official title is Provider Relations Analsyt and has the following contact phone number (304) 293-5033.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent Medicine0007384008WEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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