UHA PED-ADOLES GRP PRACT (PAASGRP)
Organization (NPI-2)
Active
Pediatrics, Adolescent Medicine
Provider Information
- NPI Number
1427263664- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1 STADIUM DRIVE, MORGANTOWN, WV, 26506
- Phone
- (304) 293-5033
- Fax
- (304) 293-6963
Specialties & Taxonomies
Pediatrics, Adolescent Medicine
Primary License: WV #0007384008