Organization
GARRISON V. MORIN DBA MOUNTAIN STATE ENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRISON VASILE MORIN M.D. (OWNER)
(304) 267-0235
Entity
Organization
Contact information
Practice address
321 LUTZ AVE, SUITE A, MARTINSBURG, WV 25404-6362
(304) 267-0235
(304) 267-0237
Mailing address
321 LUTZ AVE, SUITE A, MARTINSBURG, WV 25404-6362
(304) 267-0235
(304) 267-0237
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
21819
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003874934
MORIN NPI
—
01
—
2132881
MORIN MAMSI INDIVIDUAL
WV
05
—
3810001886
—
WV
01
—
7926704
MORIN AETNA INDIVIDUAL #
WV
01
—
DD1745
MEDICARE RAILROAD: GROUP
—
01
—
P00212257
MORIN MCARE RAILROAD INDI
—
Enumeration date
10/12/2006
Last updated
02/07/2008
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