REVITAL METRO

Physician Assistant

Active Individual
NPI: 1427593425

Practice Address

1075 VAN VOORHIS RD STE 150
Morgantown, WV 26505

Phone: (304) 598-6216

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes -
Counselor - Addiction (Substance Use Disorder) 101YA0400X No -

Frequently Asked Questions

NPI 1427593425 is the National Provider Identifier for REVITAL METRO, a Physician Assistant provider located in Morgantown, WV. This NPI was enumerated on December 29, 2016.
REVITAL METRO practices at 1075 VAN VOORHIS RD STE 150, Morgantown, WV 26505.

Quick Facts

NPI
1427593425
Type
Individual
Enumerated
Dec 29, 2016
Last Updated
Sep 4, 2024

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