Individual
JAMES E BEAVER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
134 MEDICAL PL, BEAVER, WV 25813-8977
(304) 255-1080
(304) 255-1082
Mailing address
208 DOGWOOD CT, DANIELS, WV 25832-9202
(304) 763-5121
(304) 469-1518
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
779
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0034323000
—
WV
Enumeration date
08/24/2005
Last updated
02/03/2010
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