| NPI | 1164828224 |
|---|---|
| Other Name | WVU HEALTHCARE UNIVERSITY TOWN CENTRE |
| Entity Type | Organization |
| Authorized Contact | ANDREA M RUMBLE Provider Enrollment 304-285-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2015-04-08 |