Beckley Dermatology Inc.

NPI #1720089279 in Beckley, West Virginia

Provider Information

NPI Number: 1720089279
Entity Type: Organization
Organization Name: Beckley Dermatology Inc.
Primary Specialty: Dermatology - Procedural Dermatology
Enumeration Date: Aug 9, 2005
Last Updated: Feb 15, 2017

Practice Location

Address: 94 BROOKSHIRE LANE
City: Beckley
State: West Virginia
ZIP Code: 25801-6765
Phone: (304) 252-2673

Authorized Official

Name: MR. NELSON E. VELAZQUEZ, DO
Title: SOLE OWNER
Phone: (304) 252-2673

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X	Primary
Dermatology	207N00000X
Dermatology - Dermatopathology — Dermatopathology	207ND0900X
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X

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