Organization
CHARLES E PORTERFIELD DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E PORTERFIELD DO (PHYSICIAN)
(304) 255-5710
Entity
Organization
Contact information
Practice address
3771 ROBERT C BYRD DRIVE, BECKLEY, WV 25801
(304) 255-5710
(304) 255-5702
Mailing address
PO BOX 1307, BECKLEY, WV 25802-1307
(304) 255-5710
(304) 255-5702
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
1084
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070983001
—
WV
01
—
155429
UMWA FUNDS
—
01
—
4245814
AETNA
WV
01
—
D01256325
FEDERAL
—
01
—
P00171545
RR MEDICARE
—
Enumeration date
03/29/2007
Last updated
08/22/2020
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