institution
Mountain State Vascular, Inc.
Vascular Surgery Physician in Beckley, West Virginia
NPI 1104318625

Mountain State Vascular, Inc. is a Vascular Surgery Physician based in Lewisburg, WV and is specialized in Vascular Surgery. Mountain State Vascular, Inc. practices in Beckley, WV. The NPI Number for Mountain State Vascular, Inc. is 1104318625 and holds a License No. 22852 (West Virginia).

The current practice location address for Mountain State Vascular, Inc. is 121 George Street, Beckley, WV and can be reached out via phone at 304-250-0382. You can also correspond with Mountain State Vascular, Inc. through the mailing address at PO BOX 1267, LEWISBURG, WV - 24901-4267 (mailing address contact number: 304-890-9910).

Location: 121 George Street, Beckley, WV, 24901-4267
institution
Provider Profile Details
NPI Number
1104318625
Provider Name
Mountain State Vascular, Inc.
Credential
Provider Entity Type
Organization
Address
121 George Street, Beckley, WV, 24901-4267
Phone Number
304-250-0382
Fax Number
Provider Enumeration Date
05/31/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1795 01 WV WV BOARD OF MEDICINE REGISTRATION
9ALVR 01 WV STATE OF WV CERTIFICATE
institution
Provider Business Practice Location Address Details
Address
121 George Street
City
State
Zip
25801
Phone Number
304-250-0382
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 1267
City
State
Zip
24901-4267
Phone Number
304-890-9910
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
22852 (West Virginia)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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