Doctor Name: | NORVAL L. RASMUSSEN |
NPI Number: | 1902800931 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 11609 |
Business Practice Address: | 1526 Mileground Rd Morgantown, WV - 265053745 |
Business Phone Number: | 3042924996 |
Business Fax Number: | 3042929578 |
Mailing Address: | 1526 Mileground Rd, MORGANTOWN |
State: | WV |
Postal Code: | 265053745 |
Phone Number: | 3042962395 |
Fax Number: | 3044130055 |
NPI Enumeration Date: | 06/08/2005 |
NPI Last Update Date: | 01/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 11609 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |