Individual
DR. MATTHEW DEAN BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
543 TAYLOR AVE, COLUMBUS, OH 43203-1278
(614) 293-2663
(614) 293-2053
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-2663
(614) 293-2053
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
12504972
IL
207X00000X
Orthopaedic Surgery Physician
62950
TN
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
35095641
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3064035
—
OH
Enumeration date
08/03/2008
Last updated
07/26/2023
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