MOUNTAINSTATE INFECTIOUS DISEASE, PLLC

BRIDGEPORT, WV
NPI1114491792
Entity TypeOrganization
Authorized ContactDINO DELAPORTAS
Md/Owner
304-641-1822
Organization Subpart ?No
Primary Taxonomy207RI0200X Internal Medicine Infectious Disease
Enumeration Date2019-01-16
Last Update Date2019-01-16
Business Address
MOUNTAINSTATE INFECTIOUS DISEASE, PLLC
215 W MAIN ST STE B
BRIDGEPORT, WV 26330-1888
Phone number: 301-641-1822
Mailing Address
MOUNTAINSTATE INFECTIOUS DISEASE, PLLC
11 POINT OF VW
BRIDGEPORT, WV 26330-1082
Phone number: 304-641-1822
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