CLARKSBURG ENT - UHA

BRIDGEPORT, WV
NPI1326277187
Entity TypeOrganization
Authorized ContactROBYN M MCDANIEL
Provider Relations Supervisor
304-293-5033
Organization Subpart ?Yes
Primary Taxonomy207Y00000X Otolaryngology
Enumeration Date2009-07-14
Last Update Date2009-07-14
Business Address
CLARKSBURG ENT - UHA
700 GENESIS BLVD
BRIDGEPORT, WV 26330-9668
Phone number: 304-598-4825
Mailing Address
CLARKSBURG ENT - UHA
PO BOX 780
MORGANTOWN, WV 26507-0780
Phone number: 304-293-7401