Organization
BONE AND JOINT SURGEONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK D. NELSON (EXECUTIVE DIRECTOR)
(304) 720-9640
Entity
Organization
Contact information
Practice address
100 TRACY WAY, CHARLESTON, WV 25311
(304) 343-4583
(304) 343-9207
Mailing address
100 TRACY WAY, CHARLESTON, WV 25311
(304) 343-4583
(304) 343-9207
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009333000
—
WV
Enumeration date
03/07/2006
Last updated
12/13/2011
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