Provider Demographics
NPI:1356548630
Name:BANVARD-FOX, CHRISTINE A (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:A
Last Name:BANVARD-FOX
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9247 STUDENT HEALTH SERVICE
Mailing Address - Street 2:ROBERT C. BYRD HEALTH SCIENCES CENTER
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26506-9247
Mailing Address - Country:US
Mailing Address - Phone:304-293-2311
Mailing Address - Fax:304-293-2713
Practice Address - Street 1:6040 UNIVERSITY TOWN CENTRE DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26501-2421
Practice Address - Country:US
Practice Address - Phone:855-988-2273
Practice Address - Fax:304-285-7388
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2023-03-08
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV160842080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine