Mountain State Medical Specialties, PLLC
Mountain State Medical Specialties, PLLC is an Allergy & Immunology Physician in Bridgeport, West Virginia. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 8
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
120 Medical Park Dr Ste 200Bridgeport, WV 26330-9012
Phone: (304) 624-7200
Fax: (304) 554-0413
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|---|
| Allergy & Immunology Physician | Taxonomy 207K00000X |
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X |
| Dermatopathology Physician | Taxonomy 207ND0900X |
| Procedural Dermatology Physician | Taxonomy 207NS0135X |
| Family Medicine Physician | Taxonomy 207Q00000X |
| Internal Medicine Physician | Taxonomy 207R00000X |
| Rheumatology Physician | Taxonomy 207RR0500X |
Record details
| NPI number | 1891892097 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eugene Kirkland — Cmo · (513) 701-5526 |
| NPI enumerated | September 20, 2006 |
| Last updated in NPPES | March 14, 2025 |
| Certification date | March 14, 2025 |
| Mailing address | Po Box 746750, Atlanta, GA 30374-6750 |