MEDICARE: DONALD W BECK DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	SC002283L	PA

General Provider Information

NPI Number	:	1871627570
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DONALD W BECK DPM

Provider Business Mailing Address
First Line	:	4304 WALNUT STREET
Second Line	:	SUITE 7
City	:	MCKEESPORT
State	:	PA
Zip	:	15132-6029
Country	:	US
Telephone Number	:	412-751-5312
Fax Number	:	412-751-5799

Provider Business Practice Location Address
First Line	:	4304 WALNUT STREET
Second Line	:	SUITE 7
City	:	MCKEESPORT
State	:	PA
Zip	:	15132-6029
Country	:	US
Telephone Number	:	412-751-5312
Fax Number	:	412-751-5799

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DONALD W BECK
Credential	:	DPM
Telephone Number	:	412-751-5311

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	08/22/2020

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