person
Dr. Matthew Blair Ellison, MD
General Practice Physician in Morgantown, West Virginia
NPI 1760689012

Matthew Blair Ellison is a General Practice Physician based in Morgantown, WV. Matthew Blair Ellison practices in Morgantown, WV and has the professional credentials of MD. The NPI Number for Matthew Blair Ellison is 1760689012 and holds a License No. 208D00000X (West Virginia).

The current practice location address for Matthew Blair Ellison is 1 Medical Center Drive, Morgantown, WV and can be reached out via phone at 304-598-4929 and via fax at 304-598-4930.

Location: 1 Medical Center Drive, Morgantown, WV, 26505-2884
person
Provider Profile Details
NPI Number
1760689012
Provider Name
Matthew Blair Ellison
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Medical Center Drive, Morgantown, WV, 26505-2884
Phone Number
304-598-4929
Fax Number
304-598-4930
Provider Enumeration Date
06/29/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Medical Center Drive
City
State
Zip
26506
Phone Number
304-598-4929
Fax Number
304-598-4930
person
Provider Business Mailing Address Details
Address
1 Medical Center Drive
City
State
Zip
26506
Phone Number
304-598-4929
Fax Number
304-598-4930
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
208D00000X (West Virginia)
Definition
Definition to come...
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