NPI 1104318625

Mountain State Vascular, INC.

Organisation Vascular Surgery Physician Beckley, WV

Practice location

Address: 121 George Street, Beckley, WV 25801
Phone: (304) 250-0382
Mailing address: PO Box 1267, Lewisburg, WV 24901-4267

Authorised official

Name: Brian Roland Whyte
Title: Owner
Phone: (304) 250-0382

Registered specialties

Vascular Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 22852 (WV)

Other Surgery providers in West Virginia →

Registry record

NPI: 1104318625
Entity type: Organization
NPI issued: 31 May 2018
Record last updated: 22 May 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.