| Doctor Name: | DR. WALTER D BEAM |
| NPI Number: | 1285688002 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O |
| License Number: | OS-004131L |
| Business Practice Address: | 3520 Route 130 Bldg 1 Irwin, PA - 156421438 |
| Business Phone Number: | 7247443700 |
| Business Fax Number: | 7247443702 |
| Mailing Address: | 3520 Route 130 Bldg 1, IRWIN |
| State: | PA |
| Postal Code: | 156421438 |
| Phone Number: | 7247443700 |
| Fax Number: | 7247443702 |
| NPI Enumeration Date: | 05/19/2006 |
| NPI Last Update Date: | 05/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | OS-004131L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |