| Organization Name: | WALTER D. BEAM D.O., P.C. |
| NPI Number: | 1295781276 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WALTER D. BEAM (PRESIDENT OF CORPORATION) |
| Mailing Address: | 5035 Old William Penn Hwy Export |
| State: | PA US |
| Postal Code: | 156329348 |
| Phone Number: | 7249946211 |
| Fax Number: | |
| NPI Enumeration Date: | 05/25/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | OS004131L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |