| NPI | 1174201156 |
|---|---|
| Doing Business As | MDLIVE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MERRY SCHUMACHER Sr. Director Provider Services 800-400-6354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |