Graduated: 2000
NPI: 1255367074
Practice Locations (2)
MOUNTAIN STATE MEDICAL SPECIALTIES PLLC
120 MEDICAL PARK DR, SUITE 200
BRIDGEPORT, WV 263309013
3046247200
MOUNTAIN STATE MEDICAL SPECIALTIES PLLC
165 SCOTT AVE, SUITE 100AND102
MORGANTOWN, WV 265088839
3045540400
Source: CMS National Downloadable File, September 2026.