Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountain State Vascular, Inc

Organization Vascular Surgery Physician · NPI 1104318625

Mountain State Vascular, Inc is a Vascular Surgery Physician in Beckley, West Virginia. Licensed in West Virginia. Registered with an NPI since 2018.

Licensed in
WV
In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

121 George St
Beckley, WV 25801
Phone: (304) 250-0382
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 22852 (WV)

Record details

NPI number1104318625
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Whyte — Owner · (304) 250-0382
NPI enumeratedMay 31, 2018
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024
Mailing addressPo Box 1267, Lewisburg, WV 24901-4267

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