OrganizationActive
West Virginia University Medical Corporation
NPI 1487403366 · Addiction Medicine (Psychiatry & Neurology) Physician · Morgantown, WV
Provider details
- NPI number
- 1487403366
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- West Virginia University Medical Corporation
- Organization subpart
- Yes
- Authorized official
- Justin Gibson, Vp, Finance(304) 598-4256
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Social Worker104100000X
Behavioral Health & Social Service Providers
Practice location
1075 Van Voorhis Rd Ste 200
Morgantown, WV 26505-3587
Phone: (304) 598-6216
Fax: (304) 598-2602
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 780
Morgantown, WV 26507-0780
Registry dates
- Enumerated
- 2024-05-14
- Last updated
- 2024-05-14
- Certified
- 2024-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.