Individual
DANIEL ALFRED BEALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 MEDICAL CENTER DR STE 2500, HUNTINGTON, WV 25701
(304) 691-1200
(304) 691-1287
Mailing address
1448 10TH AVE STE 304, HUNTINGTON, WV 25701-3579
(304) 691-8722
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
15501
WV
2086S0102X
Surgical Critical Care Physician
15501
WV
2086S0102X
Surgical Critical Care Physician
35969
KY
2086S0120X
Pediatric Surgery Physician
15501
WV
2086S0120X
Pediatric Surgery Physician
35969
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000539899
ANTHEM
KY
05
—
64011539
—
KY
Enumeration date
04/21/2006
Last updated
12/01/2021
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