Organization
CATHY BOYD PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER GROSE DC (CEO)
(304) 250-6047
Entity
Organization
Contact information
Practice address
1804A HARPER RD, BECKLEY, WV 25801-3331
(304) 250-6047
(304) 250-6048
Mailing address
PO BOX 5356, BECKLEY, WV 25801-7504
(304) 250-6047
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77359
WV
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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