Mountain State Spinal Care

NPI #1861609638 in Morgantown, West Virginia

Provider Information

NPI Number: 1861609638
Entity Type: Organization
Organization Name: Mountain State Spinal Care
Primary Specialty: Chiropractor
Enumeration Date: May 17, 2007
Last Updated: Jul 9, 2008

Practice Location

Address: 965 HARTMAN RUN RD
Address 2: SUITE 1101
City: Morgantown
State: West Virginia
ZIP Code: 26505-3791
Phone: (304) 292-7740

Authorized Official

Name: DR. LUCAS CHADD WATTERSON, D.C.
Title: PARTNER
Phone: (304) 292-7740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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