Organization
BECKLEY AREA MEDICAL CLINIC, INC
Active
Other names
Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL PARVIN (CREDENTIAL SPECIALIST)
(304) 237-9107
Entity
Organization
Contact information
Practice address
1828 HARPER RD, BECKLEY, WV 25801-3366
(304) 253-5690
(304) 255-4608
Mailing address
1828 HARPER RD, BECKLEY, WV 25801-3366
(304) 253-5690
(304) 255-4608
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
10539
WV
174400000X
Specialist
Primary
11126
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010538-000
—
WV
Enumeration date
12/11/2006
Last updated
05/18/2016
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