Organization · Type 2 NPI

West Virginia Univesity Medical Corporation

Hematology & Oncology Physician · Fairmont, WV

NPI number 1801771365 Active

Practice location

1325 Locust Ave Fl 3C
Fairmont, WV 26554-1435

Mailing address

PO Box 780
Morgantown, WV 26507-0780

Specialties and licenses

TaxonomyCodeLicense
Hematology (Internal Medicine) Physician 207RH0000XNone listed
Hematology & Oncology Physician Primary 207RH0003XNone listed
Medical Oncology Physician 207RX0202XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1801771365

West Virginia Univesity Medical Corporation's National Provider Identifier is 1801771365, issued on Aug 6, 2025. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Fairmont, WV. The record was last updated on Aug 6, 2025.