Provider First Line Business Practice Location Address:
1 MEDICAL CENTER DRIVE
Provider Second Line Business Practice Location Address:
WEST VIRGINIA UNIVERSITY STUDENT HEALTH SERVICE
Provider Business Practice Location Address City Name:
MORGANTOWN
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26506-9630
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-293-1393
Provider Business Practice Location Address Fax Number:
304-293-2517
Provider Enumeration Date:
09/25/2009