Beckley Pediatric Associates Ltd

NPI #1487699542 in Beckley, West Virginia

Provider Information

NPI Number: 1487699542
Entity Type: Organization
Organization Name: Beckley Pediatric Associates Ltd
Primary Specialty: Pediatrics
Enumeration Date: Jun 20, 2006
Last Updated: Jan 12, 2012

Practice Location

Address: 30 MALLARD CT
City: Beckley
State: West Virginia
ZIP Code: 25801-3664
Phone: (304) 255-0800

Authorized Official

Name: JOHN H JOHNSON III, MD
Title: OWNER/PHYSICIAN
Phone: (304) 255-0800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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