person
Dr. Joshua Ebenezer Landavaso I, MD
Student in an Organized Health Care Education/Training Program in Morgantown, West Virginia
NPI 1053014738

Joshua Ebenezer Landavaso I is a Student in an Organized Health Care Education/Training Program based in Tucson, WV. Joshua Ebenezer Landavaso I practices in Morgantown, WV and has the professional credentials of MD. The NPI Number for Joshua Ebenezer Landavaso I is 1053014738 and holds a License No. (West Virginia).

The current practice location address for Joshua Ebenezer Landavaso I is 1 Medical Center Dr, Morgantown, WV and can be reached out via phone at 304-598-0430 and via fax at 304-598-4914.

Location: 1 Medical Center Dr, Morgantown, WV, 85745-2535
person
Provider Profile Details
NPI Number
1053014738
Provider Name
Joshua Ebenezer Landavaso I
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Medical Center Dr, Morgantown, WV, 85745-2535
Phone Number
304-598-0430
Fax Number
304-598-4914
Provider Enumeration Date
03/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Medical Center Dr
City
State
Zip
26506-1200
Phone Number
304-598-0430
Fax Number
304-598-4914
person
Provider Business Mailing Address Details
Address
1 Medical Center Dr
City
State
Zip
26506-1200
Phone Number
304-598-0430
Fax Number
304-598-4914
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
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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