MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC

BRIDGEPORT, WV
NPI1891892097
Entity TypeOrganization
Authorized ContactCHARLES BRADLEY FRANZ
President
304-624-7200
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Additional Taxonomies363A00000X Physician Assistant
363LF0000X Nurse Practitioner, Family
207K00000X Allergy & Immunology
207ND0101X Dermatology, MOHS-Micrographic Surgery
207ND0900X Dermatology, Dermatopathology
207NS0135X Dermatology, Procedural Dermatology
207Q00000X Family Medicine
207R00000X Internal Medicine
207RR0500X Internal Medicine, Rheumatology
291U00000X Clinical Medical Laboratory
Enumeration Date2006-09-20
Last Update Date2019-07-18
Business Address
MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC
120 MEDICAL PARK DR SUITE 200
BRIDGEPORT, WV 26330-9012
Phone number: 304-624-7200
Mailing Address
MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC
125 N 6TH ST
CLARKSBURG, WV 26301-2665
Phone number: 304-624-7200