Individual
CHARLES R. DANIEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1710 HARPER ROAD, BECKLEY, WV 25801
(540) 345-3556
(540) 342-2193
Mailing address
PO BOX 8310, ROANOKE, VA 24014
(540) 345-3556
(540) 342-2193
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
13630
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117964000
—
WV
Enumeration date
04/28/2006
Last updated
03/12/2008
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