Az Mobile Medical Clinic Llc | |
5342 W Western Star Blvd Laveen AZ 85339-4510 | |
(602) 723-2126 | |
Not Available |
Full Name | Az Mobile Medical Clinic Llc |
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Speciality | General Practice |
Location | 5342 W Western Star Blvd, Laveen, Arizona |
Authorized Official Name and Position | John Richard Groff (OWNER) |
Authorized Official Contact | 6027232126 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Az Mobile Medical Clinic Llc 5342 W Western Star Blvd Laveen AZ 85339-4510 Ph: () - | Az Mobile Medical Clinic Llc 5342 W Western Star Blvd Laveen AZ 85339-4510 Ph: (602) 723-2126 |
NPI Number | 1013766484 |
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Provider Enumeration Date | 05/16/2024 |
Last Update Date | 05/16/2024 |
Identifier | Type | State | Issuer |
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1013766484 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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