MOUNTAIN STATE ENT & FACIAL PLASTIC SURGERY, INC is a medical specialty clinic center in Beckley, WV. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MOUNTAIN STATE ENT & FACIAL PLASTIC SURGERY, INC NPI is 1982604997. The provider is registered as an organization entity type.
The provider Other Name Is Mountain State Ent And Facial Plastic Surgery.
The provider's business location address is:
78 BROOKSHIRE LN
BECKLEY, WV
ZIP 25801-765
Phone: (304) 255-2341
Fax: (304) 255-2343
The provider's authorized official is Albert James Paine .
The authorized official title is Owner; President and has the following contact phone number (304) 255-2341.
The CLIA number assigned to this NPI record is 51D1018891 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/1/2005 and was last updated on 3/29/2024.