Beckley Pain Clinic LLC

NPI #1114236247 in Beckley, West Virginia

Provider Information

NPI Number: 1114236247
Entity Type: Organization
Organization Name: Beckley Pain Clinic LLC
Primary Specialty: Specialist
Enumeration Date: Oct 7, 2010
Last Updated: Feb 21, 2012

Practice Location

Address: 1902 HARPER RD
Address 2: SUITE D
City: Beckley
State: West Virginia
ZIP Code: 25801-2642
Phone: (304) 894-8817

Authorized Official

Name: DR. PRAKASH PURANIK, MD
Title: PRESIDENT
Phone: (304) 237-2063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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