Organization
MOUNTAINSTATE INFECTIOUS DISEASE, PLLC
Active
Other names
MOUNTAINSTATE INFECTIOUS DISEASE
Organization subpart
No
Provider details
NPI number
Authorized official
DINO DELAPORTAS MD (MD/OWNER)
(304) 641-1822
Entity
Organization
Contact information
Practice address
215 W MAIN ST STE B, BRIDGEPORT, WV 26330-1888
(301) 641-1822
(304) 250-9933
Mailing address
11 POINT OF VW, BRIDGEPORT, WV 26330-1082
(304) 641-1822
(304) 250-9933
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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