| NPI | 1720176803 |
|---|---|
| Doing Business As | MED ONE TWO |
| Entity Type | Organization |
| Authorized Contact | THERESA L OYLER Network Manager 765-457-8381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |