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A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] |
| NPI # | 1386026516 |
| LBN Legal business name | ANDLYCO, LLC |
| Authorized official | KARLA MCCLELLAN - (CFO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/24/2015 |
| Last updated | 06/30/2015 - About 11 years ago |
| Identifiers | n/a |
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ANDLYCO, LLC
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ANDLYCO, LLC