Whalio Doctors

NPI 1285821561

Mountain State Orthopedics & Sports Medicine

Organisation Sports Medicine (Neuromusculoskeletal Medicine) Physician Summersville, WV

Practice location

Address
400 Fairview Heights Rd STE. 301, Summersville, WV 26651-9308
Phone
(304) 880-7988
Fax
(304) 880-7987
Mailing address
PO Box 927, Summersville, WV 26651-0927

Authorised official

Name
William R. Carson
Title
President
Phone
(304) 880-7988

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence WV18114 (WV)

Registry record

NPI
1285821561
Entity type
Organization
NPI issued
1 Oct 2007
Record last updated
29 Dec 2008

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.