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Contact Information

MOUNTAIN STATES HEALTH ALLIANCE
58 CARROLL STREET
LEBANON, VA24266
 Phone: 276-883-8471
 Fax: 276-883-8475
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for MOUNTAIN STATES HEALTH ALLIANCE · (Female)

NPI # 1972771236
Status Active
Credentials
Entity Individual
Enumeration date 02/20/2008
Last updated 03/04/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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