Individual
ANDREW BEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1017 PIKE ST, MARIETTA, OH 45750-3522
(740) 371-7007
Mailing address
1017 PIKE ST, MARIETTA, OH 45750-3522
(740) 371-7007
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
006579
OH
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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