| NPI | 1407335367 |
|---|---|
| Other Name | BEACON RHEUMATOLOGY |
| Doing Business As | BEACON CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID CADWELL BARTELS Owner 208-775-2804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 207RX0202X Internal Medicine, Medical Oncology | |
| 2085R0001X Radiology, Radiation Oncology | |
| 261QX0200X Clinic/Center, Oncology | |
| 261QX0203X Clinic/Center, Oncology, Radiation | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-08-11 |
| Last Update Date | 2023-08-25 |