Organization · NPI-2

Advanced Physical Medicine Of West Virginia INC

General Practice · Morgantown, WV

NPI number1215375415
StatusActive
Last updated in NPPESFeb 17, 2020

Details

NPI
1215375415
Entity type
Organization (NPI-2)
Legal business name
Advanced Physical Medicine Of West Virginia INC
Organization subpart
No
Enumeration date
Jun 10, 2013
Certification date
Feb 17, 2020
Last updated
Feb 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice––Yes
2084N0400X Psychiatry & Neurology, Neurology––
363LF0000X Nurse Practitioner, Family––
335E00000X Prosthetic/Orthotic Supplier––

Practice location

699 Burroughs St
Morgantown, WV 26505-3346

Phone 304-225-9356 · Fax 304-225-9358

Mailing address

699 Burroughs St
Morgantown, WV 26505-3346

Phone 304-225-9356 · Fax 304-241-4510

Authorized official

Kristyn Billings
Credentialing
4126554362

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