Provider First Line Business Practice Location Address:
WEST VIRGINIA UNIVERSITY HOSPITALS SCHOOL OF MEDICINE
Provider Second Line Business Practice Location Address:
DEPT OF PEDIATRICS ROBERT C BYRD HEALTH SCIENCE CENTER
Provider Business Practice Location Address City Name:
MORGANTOWN
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26506-9214
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-293-4451
Provider Business Practice Location Address Fax Number:
304-293-4341
Provider Enumeration Date:
04/01/2011