| Organization Name: | DAVID L. BEATTY DPM PC |
| NPI Number: | 1598037467 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID L BEATTY (PRESIDENT) |
| Mailing Address: | 125 N Water St Paulding |
| State: | OH US |
| Postal Code: | 458791245 |
| Phone Number: | 4193995679 |
| Fax Number: | 4193993390 |
| NPI Enumeration Date: | 02/07/2012 |
| NPI Last Update Date: | 02/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | 36001932 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |