Individual
DAVID L BEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4000 STERRETTANIA RD, ERIE, PA 16506-4125
(814) 835-6640
(814) 835-6649
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2522
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS004805L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010421680006
—
PA
05
—
0010421680015
—
PA
Enumeration date
04/19/2006
Last updated
08/18/2020
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