# MOUNTAINSTATE INFECTIOUS DISEASE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MOUNTAINSTATE INFECTIOUS DISEASE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114491792
- **Authorized official:** DINO DELAPORTAS MD (MD/OWNER)
- **Authorized official phone:** (304) 641-1822

## Contact information

- **Practice address:** 215 W MAIN ST STE B, BRIDGEPORT, WV 26330-1888
- **Practice address phone:** (301) 641-1822
- **Practice address fax:** (304) 250-9933
- **Mailing address:** 11 POINT OF VW, BRIDGEPORT, WV 26330-1082
- **Mailing address phone:** (304) 641-1822
- **Mailing address fax:** (304) 250-9933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2019
- **Last updated:** 01/16/2019