WVUPC-MEDICINE & SPECIALTY OFFICE NPI 1568769354

NPI Information

WVUPC-MEDICINE & SPECIALTY OFFICE is a medical specialty clinic center in Charleston, WV. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). WVUPC-MEDICINE & SPECIALTY OFFICE NPI is 1568769354. The provider is registered as an organization entity type.
The provider Is Doing Business As Wvu Physicians Of Charleston.

The provider's business location address is:

4522 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304-840
Phone: (304) 347-1296
Fax: (304) 347-1394

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

The enumeration date for this NPI number is 2/15/2011 and was last updated on 2/15/2011.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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