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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC

Active Organization

Dermatology · BRIDGEPORT, WV

Registration Details

NPI Number
1891892097
Provider Type
Organization
NPI Issued
Sep 20, 2006 (19.585685745427 yrs)
Last Updated
Mar 14, 2025

Practice Information

Address
120 MEDICAL PARK DR
SUITE 200
BRIDGEPORT, WV, 263309012
Browse WV providers · Browse ZIP 26330
Phone
3046247200
Fax
3045540413
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Obesity Medicine
Additional Specialty
Dermatopathology
Additional Specialty
Procedural Dermatology
Additional Specialty
Family Medicine

Other Dermatology Organizations in BRIDGEPORT, WV

Name NPI
CENTRAL WV DERM ASSOC INC 1669583589
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.