Organization
MOUNTAIN STATE MEDICINE AND RHEUMATOLOGY PLLC
Active
Other names
MSMR, MSMR Specialty
Organization subpart
No
Provider details
NPI number
Authorized official
DOSHIA K PETRY WARD CMOM, CMC,CMPM, CMA (PRACTICE MANAGER)
(304) 400-4900
Entity
Organization
Contact information
Practice address
1120 KANAWHA BLVD E STE 200, CHARLESTON, WV 25301-2400
(304) 400-4900
(304) 400-4907
Mailing address
1120 KANAWHA BLVD E STE 200, CHARLESTON, WV 25301-2400
(304) 400-4900
(304) 400-4907
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1767
WV
174400000X
Specialist
1818
WV
207R00000X
Internal Medicine Physician
Primary
—
—
207RR0500X
Rheumatology Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/22/2007
Last updated
01/12/2026
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