NPI: 1548892532
Provider Name: MOUNTAIN STATE DIABETES PLLC
Other Name: MOUNTAIN STATE DIABETES
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization
Specialization: Endocrinology, Diabetes & Metabolism
CLIA Number: 51D2179780
Address:
1900 GARFIELD AVE STE A
PARKERSBURG, WV
ZIP 26101
Phone: (877) 377-8427
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MOUNTAIN STATE DIABETES PLLC is an endocrinology and diabetes and metabolism internal medicine in Parkersburg, WV. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. MOUNTAIN STATE DIABETES PLLC NPI is 1548892532. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Mountain State Diabetes.
The provider's business location address is:
1900 GARFIELD AVE STE A
PARKERSBURG, WV
ZIP 26101-565
Phone: (877) 377-8427
Fax: (304) 699-0396
The provider's authorized official is David Neal Pickering .
The authorized official title is Owner and has the following contact phone number (877) 377-8427.
The CLIA number assigned to this NPI record is 51D2179780 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/7/2020 and was last updated on 11/30/2021.