Individual provider · NPI-1

Dr. Chad David Anderson, MD

Emergency Medicine · Morgantown, WV

NPI number1467657940
StatusActive
Last updated in NPPESNov 21, 2016

Details

NPI
1467657940
Entity type
Individual (NPI-1)
Name
Dr. Chad David Anderson
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 15, 2007
Last updated
Nov 21, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine22863WVYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1 Stadium Drive
Morgantown, WV 26505

Phone 304-598-4000

Mailing address

82 Stamm Ln
Wheeling, WV 26003-5516

Phone 304-780-8414

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