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NPI Code Detail

MEDICARE: SARAH BODNAR VERO PA-C

MEDICARE: SARAH BODNAR VERO PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant2520WV

General Provider Information

NPI Number : 1326640988
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH BODNAR VERO PA-C
Provider Business Mailing Address
First Line : 1200 J D ANDERSON DR
Second Line :
City : MORGANTOWN
State : WV
Zip : 26505-3494
Country : US
Telephone Number : 304-285-3870
Fax Number :
Provider Business Practice Location Address
First Line : 1200 J D ANDERSON DR
Second Line :
City : MORGANTOWN
State : WV
Zip : 26505-3494
Country : US
Telephone Number : 304-285-3870
Fax Number : 304-598-6566
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2020
Last Update Date : 02/09/2026

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Directions to “ SARAH BODNAR VERO PA-C” Practice Location

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