| NPI | 1891560025 |
|---|---|
| Doing Business As | FAMILY MEDICAL GROUP NE |
| Entity Type | Organization |
| Authorized Contact | MEAGAN S TREADWAY Credentialing Specialist 541-242-4384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2023-11-17 |