Organization
BECKLEY ONCOLOGY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL SVEN LARSON MD (PRESIDENT)
(304) 253-6060
Entity
Organization
Contact information
Practice address
275 DRY HILL RD, BECKLEY, WV 25801-2605
(304) 253-6060
(304) 929-2248
Mailing address
275 DRY HILL RD, BECKLEY, WV 25801-2605
(304) 253-6060
(304) 929-2248
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
12240
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083259-000
—
WV
Enumeration date
04/10/2007
Last updated
08/22/2020
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