| Doctor Name: | DR. JASON ALLEN MORELAND |
| NPI Number: | 1962612408 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 22159 |
| Business Practice Address: | 600 Suncrest Town Centre Dr Ste 110 Morgantown, WV - 265051872 |
| Business Phone Number: | 3045984478 |
| Business Fax Number: | 3045990796 |
| Mailing Address: | Po Box 9157, Robert C. Byrd Health Sciences Center MORGANTOWN |
| State: | WV |
| Postal Code: | 265069157 |
| Phone Number: | 3042934096 |
| Fax Number: | 3042937828 |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 07/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 22159 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |