institution
Mountain State Orthopedics & Sports Medicine
Sports Medicine (Neuromusculoskeletal Medicine) Physician in Summersville, West Virginia
NPI 1285821561

Mountain State Orthopedics & Sports Medicine is a Sports Medicine (Neuromusculoskeletal Medicine) Physician based in Summersville, WV. Mountain State Orthopedics & Sports Medicine practices in Summersville, WV. The NPI Number for Mountain State Orthopedics & Sports Medicine is 1285821561 and holds a License No. WV18114 (West Virginia).

The current practice location address for Mountain State Orthopedics & Sports Medicine is 400 Fairview Heights Rd, Summersville, WV and can be reached out via phone at 304-880-7988 and via fax at 304-880-7987.

Location: 400 Fairview Heights Rd, Summersville, WV, 26651-0927
institution
Provider Profile Details
NPI Number
1285821561
Provider Name
Mountain State Orthopedics & Sports Medicine
Credential
Provider Entity Type
Organization
Address
400 Fairview Heights Rd, Summersville, WV, 26651-0927
Phone Number
304-880-7988
Fax Number
304-880-7987
Provider Enumeration Date
10/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0098219000 05 WV
200025785 01 WV RAILROAD MEDICARE
9286011 01 WV MEDICARE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
400 Fairview Heights Rd
City
State
Zip
26651-9308
Phone Number
304-880-7988
Fax Number
304-880-7987
person
Provider Business Mailing Address Details
Address
400 Fairview Heights Rd
City
State
Zip
26651-9308
Phone Number
304-880-7988
Fax Number
304-880-7987
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neuromusculoskeletal Medicine, Sports Medicine
Speciality
-
Taxonomy
License No.
WV18114 (West Virginia)
Definition
Definition to come.
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