Individual
DR. WILLIAM REEVES MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5861 MASON DIXON HWY, BLACKSVILLE, WV 26521
(304) 432-8211
(304) 432-8213
Mailing address
PO BOX 72, BLACKSVILLE, WV 26521-0072
(304) 432-8211
(304) 432-8213
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
729
WV
207Q00000X
Family Medicine Physician
OS006467E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001120818-0008
—
PA
05
—
001120818-0009
—
PA
05
—
1803395000
—
WV
Enumeration date
08/01/2006
Last updated
01/17/2017
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