Individual
MICHAEL EDGAR BEALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8503 ARLINGTON BLVD, #310, FAIRFAX, VA 22031-4628
(703) 208-4200
(703) 876-1799
Mailing address
8503 ARLINGTON BLVD, #310, FAIRFAX, VA 22031-4628
(703) 208-4200
(703) 876-1799
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101025095
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1224139
AETNA HMO
—
01
—
188959
ANTHEM PROSPERITY
—
01
—
192391
ANTHEM FAIR OAKS
—
01
—
4091325
AETNA PPO
—
01
—
502646
NCPPS
—
01
—
N1900013
CAREFIRST BCBS
—
Enumeration date
08/16/2005
Last updated
02/21/2008
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