| NPI | 1174927131 |
|---|---|
| Doing Business As | BEACON MEDICAL GROUP- TRAUMA AND SURGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | JEFFREY P. COSTELLO CFO 574-647-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery |
| Additional Taxonomies | 208600000X Surgery |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2023-04-24 |