Practice Information
Provider Information (up to 4)
Provider (1)
Provider Medical Designation (1) *
Select an option...
M.D.
D.O.
P.A.
F.N.P.
WVSRS Annual Meeting (Prov 1)
None
Yes, I plan to attend the WVSRS Annual Meeting.
Provider Photo Upload (1)
Provider (2)
Provider Medical Designation (2)
None
M.D.
D.O.
P.A.
F.N.P.
WVSRS Annual Meeting (Prov 2)
None
Yes, I plan to attend the WVSRS Annual Meeting.
Provider Photo Upload (2)
Provider (3)
Provider Medical Designation (3)
None
M.D.
D.O.
P.A.
F.N.P.
WVSRS Annual Meeting (Prov 3)
None
Yes, I plan to attend the WVSRS Annual Meeting.
Provider Photo Upload (3)
Provider (4)
Provider Medical Designation (4)
None
M.D.
D.O.
P.A.
F.N.P.
WVSRS Annual Meeting (Prov 4)
None
Yes, I plan to attend the WVSRS Annual Meeting.
Provider Photo Upload (4)
Staff Information (up to 6)
Staff (1)
Staff Designation (1)
None
R.N.
L.P.N.
C.M.A.
Office Manager
Staff Member
PharmD
PhD
Resident/Fellow
WVSRS Annual Meeting (1)
None
Yes, I plan to attend the WVSRS Annual Meeting.
Staff (2)
Staff Designation (2)
None
R.N.
L.P.N.
C.M.A.
Office Manager
Staff Member
PharmD
PhD
Resident/Fellow
WVSRS Annual Meeting (2)
None
Yes, I plan to attend the WVSRS Annual Meeting.
Staff (3)
Staff Designation (3)
None
R.N.
L.P.N.
C.M.A.
Office Manager
Staff Member
PharmD
PhD
Resident/Fellow
WVSRS Annual Meeting (3)
None
Yes, I plan to attend the WVSRS Annual Meeting.
Staff (4)
Staff Designation (4)
None
R.N.
L.P.N.
C.M.A.
Office Manager
Staff Member
PharmD
PhD
Resident/Fellow
WVSRS Annual Meeting (4)
None
Yes, I plan to attend the WVSRS Annual Meeting.
Staff (5)
Staff Designation (5)
None
R.N.
L.P.N.
C.M.A.
Office Manager
Staff Member
PharmD
PhD
Resident/Fellow
WVSRS Annual Meeting (5)
None
Yes, I plan to attend the WVSRS Annual Meeting.
Staff (6)
Staff Designation (6)
None
R.N.
L.P.N.
C.M.A.
Office Manager
Staff Member
PharmD
PhD
Resident/Fellow
WVSRS Annual Meeting (6)
None
Yes, I plan to attend the WVSRS Annual Meeting.
WVSRS Annual Meeting
Additional Staff (1 of 3 available) – $50 per person
Additional Staff (1)
Additional Staff Designation (1)
None
R.N. (+$ 50.00 )
L.P.N. (+$ 50.00 )
C.M.A. (+$ 50.00 )
Office Manager (+$ 50.00 )
Staff Member (+$ 50.00 )
PharmD (+$ 50.00 )
PhD (+$ 50.00 )
Resident/Fellow (+$ 50.00 )
WVSRS Annual Meeting (Add 1)
None
Yes, I plan to attend the WVSRS Annual Meeting.
Additional Staff (2)
Additional Staff Designation (2)
None
R.N. (+$ 50.00 )
L.P.N. (+$ 50.00 )
C.M.A. (+$ 50.00 )
Office Manager (+$ 50.00 )
Staff Member (+$ 50.00 )
PharmD (+$ 50.00 )
PhD (+$ 50.00 )
Resident/Fellow (+$ 50.00 )
WVSRS Annual Meeting (Add 2)
None
Yes, I plan to attend the WVSRS Annual Meeting.
Additional Staff (3)
Additional Staff Designation (3)
None
R.N. (+$ 50.00 )
L.P.N. (+$ 50.00 )
C.M.A. (+$ 50.00 )
Office Manager (+$ 50.00 )
Staff Member (+$ 50.00 )
PharmD (+$ 50.00 )
PhD (+$ 50.00 )
Resident/Fellow (+$ 50.00 )
WVSRS Annual Meeting (Add 3)
None
Yes, I plan to attend the WVSRS Annual Meeting.