Beacon Medical Group, Inc.
NPI #1780856724 in South Bend, Indiana
Provider Information
- NPI Number
- 1780856724
- Entity Type
- Organization
- Organization Name
- Beacon Medical Group, Inc.
- Primary Specialty
- Preventive Medicine - Aerospace Medicine
- Enumeration Date
- Mar 31, 2008
- Last Updated
- Aug 30, 2016
Practice Location
- Address
- 2301 N BENDIX DR
- Address 2
- SUITE 500
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46628-3486
- Phone
- (574) 647-1675
Authorized Official
- Name
- MR. JEFFREY P. COSTELLO
- Title
- VP/CFO
- Phone
- (574) 647-3549
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Preventive Medicine - Aerospace Medicine — Aerospace Medicine |
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