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Organization
MOUNTAIN STATE ENT & FACIAL PLASTIC SURGERY, INC
Active
Organization
MOUNTAIN STATE ENT & FACIAL PLASTIC SURGERY, INC
Active
Other names
Mountain State ENT, Mountain State ENT and Facial Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT JAMES PAINE JR. MD (OWNER; PRESIDENT)
(304) 255-2341
Entity
Organization
Contact information
Practice address
78 BROOKSHIRE LN, BECKLEY, WV 25801-6765
(304) 255-2341
(304) 255-2343
Mailing address
78 BROOKSHIRE LN, BECKLEY, WV 25801-6765
(304) 255-2341
(304) 255-2343
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
006769
WV
Other
Enumeration date
08/01/2005
Last updated
03/29/2024
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