# 24ON PHYSICIANS, P.C.

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

## Provider details

- **NPI number:** 1801190004
- **Authorized official:** MR. DAN A. FULLER (SECRETARY)
- **Authorized official phone:** (770) 740-0895

## Contact information

- **Practice address:** 2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
- **Practice address phone:** (575) 521-5457
- **Practice address fax:** (575) 521-5471
- **Mailing address:** PO BOX 403631, ATLANTA, GA 30384-3631
- **Mailing address phone:** (770) 740-0895
- **Mailing address fax:** (770) 740-0896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | — | NULL | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/03/2011
- **Last updated:** 01/03/2011