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Organization
WILLIAM S BEAL DPM PROFESSIONAL CORPORATION
Active
Organization
WILLIAM S BEAL DPM PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW THIO MD (MEDICAL DIRECTOR)
(951) 788-2001
Entity
Organization
Contact information
Practice address
4217 LUTHER ST, RIVERSIDE, CA 92506-2853
(951) 788-2001
Mailing address
4217 LUTHER ST, RIVERSIDE, CA 92506
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E19640
CA
Other
Enumeration date
01/24/2011
Last updated
04/26/2011
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