Organization
MOUNTAIN STATE WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCAS C WATTERSON D.C. (MEMBER/DIRECT OWNER)
(304) 292-7740
Entity
Organization
Contact information
Practice address
965 HARTMAN RUN RD, SUITE 1101, MORGANTOWN, WV 26505-7700
(304) 292-7740
Mailing address
965 HARTMAN RUN RD, SUITE 1101, MORGANTOWN, WV 26505-7700
(304) 292-7740
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
WV
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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