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Organization

MKSC INC.

Active
Other names
Marra Knee and Shoulder Center, Inc., Marra Knee, Hip, and Shoulder Center, Inc., Marra Knee and Shoulder Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANTE A MARRA M.D. (PRESIDENT)
(304) 242-8042
Entity
Organization

Contact information

Practice address
300 WHARTON CIR STE 130, TRIADELPHIA, WV 26059-1539
(304) 242-8042
(304) 242-8962
Mailing address
300 WHARTON CIR STE 130, TRIADELPHIA, WV 26059-1539
(304) 242-8042
(304) 242-8962

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19164
WV
332900000X
Non-Pharmacy Dispensing Site

Other

Enumeration date
09/18/2014
Last updated
04/05/2024
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