Beacon Medical Group INC

NPI #1437803285 in Elkhart, Indiana

Provider Information

NPI Number: 1437803285
Entity Type: Organization
Organization Name: Beacon Medical Group INC
Primary Specialty: Anesthesiology
Enumeration Date: Feb 10, 2022
Last Updated: Oct 14, 2024

Practice Location

Address: 600 EAST BLVD
City: Elkhart
State: Indiana
ZIP Code: 46514-2483
Phone: (574) 524-8130

Authorized Official

Name: IRENE MAFFETONE
Title: CONTRACTING SPECIALIST
Phone: (574) 647-1040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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