Beacon Medical Group, Inc.

NPI #1710329008 in Elkhart, Indiana

Provider Information

NPI Number: 1710329008
Entity Type: Organization
Organization Name: Beacon Medical Group, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Jul 27, 2013
Last Updated: Sep 24, 2013

Practice Location

Address: 3301 COUNTY ROAD 6 E
City: Elkhart
State: Indiana
ZIP Code: 46514-7673
Phone: (574) 266-5342

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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