Provider First Line Business Practice Location Address:
ONE MEDICAL CENTER DRIVE, HSC
Provider Second Line Business Practice Location Address:
WEST VIRGINIA UNIVERSITY HOSPITAL
Provider Business Practice Location Address City Name:
MORGANTOWN
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26506-9149
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-293-7215
Provider Business Practice Location Address Fax Number:
304-293-6702
Provider Enumeration Date:
03/21/2013