# COAL VALLEY PHYSICIANS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043344682
- **Authorized official:** FRED L. AKERBERG MD (OWNER)
- **Authorized official phone:** (304) 442-9582

## Contact information

- **Practice address:** 401 6TH AVE, D303, MONTGOMERY, WV 25136-2116
- **Practice address phone:** (304) 442-9582
- **Practice address fax:** (304) 442-1334
- **Mailing address:** PO BOX 330, MONTGOMERY, WV 25136-0330
- **Mailing address phone:** (304) 233-9314
- **Mailing address fax:** (304) 233-0265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 10/22/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0050281000 | — | WV |
