Beacon Medical Group, Inc.

NPI #1447285697 in Bristol, Indiana

Provider Information

NPI Number: 1447285697
Entity Type: Organization
Organization Name: Beacon Medical Group, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Jul 12, 2006
Last Updated: Apr 24, 2023

Practice Location

Address: 306 E VISTULA
City: Bristol
State: Indiana
ZIP Code: 46507-9489
Phone: (574) 848-4427

Authorized Official

Name: MR. JEFFREY P COSTELLO
Title: CFO
Phone: (574) 647-3549

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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