| Az Mobile Doctors Llc | |
|
1825 E Northern Ave Ste 100 Phoenix AZ 85020-3953 | |
| (623) 680-9038 | |
| (602) 805-5528 |
| Full Name | Az Mobile Doctors Llc |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 1825 E Northern Ave Ste 100, Phoenix, Arizona |
| Authorized Official Name and Position | Reveline Gorospe (PRACTICE OWNER) |
| Authorized Official Contact | 6236809038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Az Mobile Doctors Llc 1825 E Northern Ave Ste 100 Phoenix AZ 85020-3953 Ph: (623) 680-9038 | Az Mobile Doctors Llc 1825 E Northern Ave Ste 100 Phoenix AZ 85020-3953 Ph: (623) 680-9038 |
| NPI Number | 1417775578 |
|---|---|
| Provider Enumeration Date | 09/27/2024 |
| Last Update Date | 09/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417775578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
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