Doctor Name: | CHRISTOPHER DONOVAN BECKETT |
NPI Number: | 1174575898 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 1875 |
Business Practice Address: | 184 E 2nd Ave Suite 1 Williamson, WV - 256613602 |
Business Phone Number: | 3042351844 |
Business Fax Number: | 3042352933 |
Mailing Address: | Po Box 300, WILLIAMSON |
State: | WV |
Postal Code: | 256610300 |
Phone Number: | 3042351844 |
Fax Number: | 3042352933 |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 01/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 1875 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |