Individual provider · Type 1 NPI
Bonnie L. Beaver, MD
Pediatric Surgery Physician · Huntington, WV
NPI number
1326008012
Active
Practice location
1600 Medical Center Dr, Suite 2500
Huntington, WV 25701-3656
Fax (304) 691-1287
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 18092 (WV) |
| Pediatric Surgery Physician Primary | 2086S0120X | 18092 (WV) |
Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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About NPI 1326008012
Bonnie L. Beaver, MD's National Provider Identifier is 1326008012, issued on Mar 25, 2006. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Huntington, WV. The record was last updated on Sep 26, 2012.