# MT. EATON MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457962110
- **Authorized official:** NOLAN W BYLER DO (PHYSICIAN)
- **Authorized official phone:** (330) 359-5489

## Contact information

- **Practice address:** 15988 E CHESTNUT ST, MT. EATON, OH 44659
- **Practice address phone:** (330) 359-5489
- **Practice address fax:** (330) 359-5822
- **Mailing address:** PO BOX 206, MOUNT EATON, OH 44659-0206
- **Mailing address phone:** (330) 359-5489
- **Mailing address fax:** (330) 359-5822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2020
- **Last updated:** 12/04/2020