NPI 1003218397

Mksc INC.

Organisation Orthopaedic Surgery Physician Triadelphia, WV

Practice location

Address: 300 Wharton Cir STE 130, Triadelphia, WV 26059-1539
Phone: (304) 242-8042
Fax: (304) 242-8962

Authorised official

Name: Dante a Marra
Title: President
Phone: (304) 242-8042

Registered specialties (2)

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 19164 (WV)

Other Orthopaedic Surgery providers in West Virginia →

Non-Pharmacy Dispensing Site

Suppliers Taxonomy 332900000X

Other Non-Pharmacy Dispensing Site providers in West Virginia →

Registry record

NPI: 1003218397
Entity type: Organization
NPI issued: 18 Sep 2014
Record last updated: 5 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.