Mountaineer Gastroenterology Inc

Organization Gastroenterology Physician · NPI 1619164365

Mountaineer Gastroenterology Inc provides Gastroenterology Physician services in Cedar Bluff, Virginia. Licensed in Virginia and West Virginia. Registered with an NPI since 2007.

Licensed in: VA, WV
In the registry since: 2007
Specialties on file: 2

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

1100 Cedar Valley Dr
Cedar Bluff, VA 24609 Not confirmed with CMS for 16 years — call before visiting
Phone: (276) 596-9980
Fax: (276) 596-9981

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary)	Taxonomy 207RG0100X · Licence 0102037199 (VA)
Gastroenterology Physician	Taxonomy 207RG0100X · Licence 1732 (WV)

Record details

NPI number	1619164365
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Thomas Cortellesi — Owner/President · (276) 596-9980
NPI enumerated	September 26, 2007
Last updated in NPPES	September 21, 2010
Mailing address	4035 College Avenue, 102, Bluefield, VA 24605