Organization
MOUNTAIN STATE SPINAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCAS CHADD WATTERSON D.C. (PARTNER)
(304) 292-7740
Entity
Organization
Contact information
Practice address
965 HARTMAN RUN RD, SUITE 1101, MORGANTOWN, WV 26505-3791
(304) 292-7740
(304) 292-7741
Mailing address
965 HARTMAN RUN RD, SUITE 1101, MORGANTOWN, WV 26505-3791
(304) 292-7740
(304) 292-7741
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
770
WV
111N00000X
Chiropractor
Primary
771
WV
Other
Enumeration date
05/17/2007
Last updated
07/09/2008
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