# BECKLEY PHYSICAL MEDICINE

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

## Provider details

- **NPI number:** 1629481098
- **Authorized official:** STEVE NATHANSON MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (304) 250-6047

## Contact information

- **Practice address:** 9 YELLOW WOOD WAY, BECKLEY, WV 25801-7126
- **Practice address phone:** (304) 250-6047
- **Practice address fax:** (304) 250-6048
- **Mailing address:** 9 YELLOW WOOD WAY, BECKLEY, WV 25801-7126
- **Mailing address phone:** (304) 250-6047
- **Mailing address fax:** (304) 250-6048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2014
- **Last updated:** 06/03/2014