Organization
24 ON PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN A. FULLER (VP/SECRETARY)
(770) 740-0895
Entity
Organization
Contact information
Practice address
1500 S LAKE PARK AVE, HOBART, IN 46342-6638
(770) 740-0895
(770) 740-0896
Mailing address
PO BOX 849318, BOSTON, MA 02284-9318
(770) 740-0895
(770) 740-0896
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
09/12/2012
Last updated
08/28/2025
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