| Organization Name: | MILEGROUND PHYSICIANS, PLLC |
| NPI Number: | 1457499519 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NORVAL LEROY RASMUSSEN (OWNER) |
| Mailing Address: | 1526 Mileground Rd Morgantown |
| State: | WV US |
| Postal Code: | 265053745 |
| Phone Number: | 3042924996 |
| Fax Number: | 3042929578 |
| NPI Enumeration Date: | 02/02/2007 |
| NPI Last Update Date: | 10/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 11609 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |