Beal, David Wallace

Beal, David Wallace is an individual health care provider with primary practice located at 2510 W Dunlap Ave Ste 290, Phoenix AZ 85021-2759. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Beal, David Wallace can be contacted via phone (602) 789-0344.

Contact Information

Primary practice address
2510 W Dunlap Ave Ste 290 Phoenix AZ 85021-2759
Fax: (602) 789-8389
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 1638 Arizona

Profile Details

NPI number 1831110477
LBN Legal business name Beal, David Wallace
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated May 11th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831110477 NPPES
Arizona MEDICAID 253071

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