Mountaineer Surgical Associates Pllc

NPI #1457662579 in Charleston, West Virginia

Provider Information

NPI Number: 1457662579
Entity Type: Organization
Organization Name: Mountaineer Surgical Associates Pllc
Primary Specialty: Surgery
Enumeration Date: Jun 23, 2010
Last Updated: Jun 20, 2018

Practice Location

Address: 331 LAIDLEY ST
Address 2: SUITE 201
City: Charleston
State: West Virginia
ZIP Code: 25301-1619
Phone: (304) 205-7912

Authorized Official

Name: LUKE WELDON MARTIN, M.D.
Title: MANAGING MEMBER
Phone: (304) 205-7912

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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