Organization · Type 2 NPI
West Virginia University Medical Corporation
Vascular Surgery Physician · Keyser, WV
NPI number
1821961715
Active
Practice location
131 Staggs Lane
Keyser, WV 26726-7003
Mailing address
PO Box 780
Morgantown, WV 26507-0780
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | None listed |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
About NPI 1821961715
West Virginia University Medical Corporation's National Provider Identifier is 1821961715, issued on Sep 26, 2025. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Keyser, WV. The record was last updated on Sep 26, 2025.