Individual
DR. DAVID JOEL BEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 GRAND CENTRAL AVE STE 115, VIENNA, WV 26105-1079
(304) 485-3627
(304) 295-2315
Mailing address
3 MERRYWOOD LN, VIENNA, WV 26105-9488
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20313
WV
207Q00000X
Family Medicine Physician
35079300
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4072881
—
WV
Enumeration date
07/21/2005
Last updated
05/09/2024
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