| NPI | 1073503637 |
|---|---|
| Doing Business As | BEAVER FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | BELLA N ZINZUWADIA President 304-255-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2008-01-25 |