NPI Profile for PEDIATRIC LUNG ASTHMA CENTER PLLC in MORGANTOWN, WV.
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Community Based Residential Treatment Facility, Mental Illness |
320800000X | |||
Pediatric Pulmonology |
2080P0214X | 37 | Physician/Pediatric Medicine |
| NPI Number | 1740685932 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/30/2014 | |
| Last updated | 03/07/2023 - About 3 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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