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Specialty details in registry · Morgantown, WV

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At a glance

108 Cadet Ct, Morgantown, WV 26508-9008

NPPES record updated Oct 31, 2022. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

108 Cadet Ct
Morgantown, WV 26508-9008

Professional details: NPI, taxonomy & registry record

NPI1629785688

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QM0801X
Enumeration date: Oct 31, 2022
Record updated: Oct 31, 2022

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QM0801X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

108 Cadet Ct
Morgantown, WV 26508-9008

Phone: (951) 515-9235

Mailing address

108 CADET CT

MORGANTOWN, WV 265089008

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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