Organization
MOUNTAIN PRIDE ORTHOPAEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE F HAUPT MD (OWNER)
(304) 744-2300
Entity
Organization
Contact information
Practice address
500 POPLAR ST, SUITE 303, CHARLESTON, WV 25309-1474
(304) 766-7374
(304) 766-9690
Mailing address
500 POPLAR ST, SUITE 303, CHARLESTON, WV 25309-1474
(304) 766-7374
(304) 766-9690
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18234
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098202000
—
WV
Enumeration date
05/23/2007
Last updated
02/17/2009
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