Organization
WEST VIRGINIA CRNA ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECIL GRAHAM MD (PRESIDENT)
(304) 253-3570
Entity
Organization
Contact information
Practice address
1710 HARPER RD, BECKLEY, WV 25801-3357
(304) 253-3570
(304) 253-5504
Mailing address
L - 2771, COLUMBUS, OH 43260-0001
(800) 277-8151
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009680000
—
WV
Enumeration date
04/25/2006
Last updated
08/22/2020
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