Provider First Line Business Practice Location Address:
327 MEDICAL PARK DR 4 EAST
Provider Second Line Business Practice Location Address:
WVU HEALTHCARE OB/GYN
Provider Business Practice Location Address City Name:
BRIDGEPORT
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26330-9009
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-848-2150
Provider Business Practice Location Address Fax Number:
304-848-2153
Provider Enumeration Date:
02/25/2011