Individual provider · Type 1 NPI

Stephen Wanta, MD

Student in an Organized Health Care Education/Training Program · Morgantown, WV

NPI number 1528454048 Active

Practice location

1 Medical Center Dr, Room 4601
Morgantown, WV 26506-1200

Call (304) 293-1254 Map

Fax (304) 293-4711

Mailing address

PO Box 9238
Morgantown, WV 26506-9238

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1528454048

Stephen Wanta, MD's National Provider Identifier is 1528454048, issued on Apr 10, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Morgantown, WV. The record was last updated on Feb 4, 2022.