| NPI | 1528362647 |
|---|---|
| Doing Business As | BEACON MEDICAL GROUP ADVANCED CARDIOVASCULAR SPECIALISTS RIVERPOINTE |
| Entity Type | Organization |
| Authorized Contact | JEFFREY P COSTELLO CFO 574-647-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 11-005017-1) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IN 11-005017-1) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 11-005017-1) | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2024-02-22 |