Organization
FULTON COUNTY MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARCI OGLE (OFFICE MANAGER)
(574) 223-4337
Entity
Organization
Contact information
Practice address
700 MAIN ST, ROCHESTER, IN 46975-1506
(574) 223-4337
(574) 223-4375
Mailing address
700 MAIN ST, ROCHESTER, IN 46975-1506
(574) 223-4337
(574) 223-4375
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100386150A
—
IN
Enumeration date
11/15/2006
Last updated
04/04/2013
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