Individual provider · NPI-1

David Anderson, MD

General Practice · Morgantown, WV

NPI number1629082243
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1629082243
Entity type
Individual (NPI-1)
Name
David Anderson
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 28, 2006
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice16613WVYes
207P00000X Emergency Medicine16613WV

Practice location

710 Venture Dr
Morgantown, WV 26508-7306

Phone 304-291-5533 · Fax 304-291-5548

Mailing address

710 Venture Dr
Morgantown, WV 26508-7306

Phone 304-291-5533 · Fax 304-291-5548

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