OrganizationActive
West Virginia University Medical Corporation
NPI 1740038561 · Podiatrist · Charles Town, WV
Provider details
- NPI number
- 1740038561
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Parent organization
- West Virginia University Medical Corporation
- Organization subpart
- Yes
- Authorized official
- Justin Gibson, Vp, Finance(304) 598-4256
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
912 Somerset Blvd Ste 101
Charles Town, WV 25414-3954
Phone: (304) 725-2663
Fax: (304) 724-0053
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 780
Morgantown, WV 26507-0780
Registry dates
- Enumerated
- 2024-05-07
- Last updated
- 2024-05-07
- Certified
- 2024-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.