Dr. David Joel Beane, MD
Family Medicine in Vienna, WV. Individual provider (NPI-1).
NPI number1821097734
StatusActive
Last updated in NPPESMay 9, 2024
Details
- NPI
- 1821097734
- Entity type
- Individual (NPI-1)
- Name
- Dr. David Joel Beane
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2005
- Certification date
- May 9, 2024
- Last updated
- May 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 20313 | WV | Yes |
| 207Q00000X | Family Medicine | 35079300 | OH |
Practice location
1500 Grand Central Ave Ste 115Vienna, WV 26105-1079
Phone 304-485-3627 · Fax 304-295-2315
Mailing address
3 Merrywood LnVienna, WV 26105-9488
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