NPI | 1518605955 |
---|---|
Doing Business As | MDLIVE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | MERRY SCHUMACHER Sr. Director Provider Services 800-400-6354 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2022-05-25 |
Last Update Date | 2022-10-20 |