James E Beaver JR., PAC

NPI #1659364735 in Beaver, West Virginia

Provider Information

NPI Number: 1659364735
Entity Type: Individual
Name: James E Beaver JR., PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Aug 24, 2005
Last Updated: Feb 3, 2010

Practice Location

Address: 134 MEDICAL PL
City: Beaver
State: West Virginia
ZIP Code: 25813-8977
Phone: (304) 255-1080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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