Organization
24ON PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN A. FULLER (SECRETARY)
(770) 740-0895
Entity
Organization
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 521-5457
(575) 521-5471
Mailing address
PO BOX 403631, ATLANTA, GA 30384-3631
(770) 740-0895
(770) 740-0896
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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