| NPI | 1487036869 |
|---|---|
| Doing Business As | BEACON MEDICAL GROUP- BUCHANAN |
| Entity Type | Organization |
| Authorized Contact | JEFFREY P. COSTELLO CFO 574-647-3549 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2016-09-20 |