NPI 1154747442
Mountain State Medical Specialties,inc.
Practice location
- Address
- 120 Medical Park Dr STE 101, Bridgeport, WV 26330-9013
- Phone
- (304) 624-7200
- Fax
- (304) 624-0026
- Mailing address
- 125 N 6th St, Clarksburg, WV 26301-2665
Authorised official
- Name
- Evelyn McGee
- Title
- Vp
- Phone
- (304) 624-7200
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1154747442
- Entity type
- Organization
- NPI issued
- 11 Mar 2014
- Record last updated
- 11 Mar 2014
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.