| Mobile Medical Providers Of Arizona, Llc | |
|
2266 S Dobson Rd Ste 200 Mesa AZ 85202-6412 | |
| (480) 329-8065 | |
| Not Available |
| Full Name | Mobile Medical Providers Of Arizona, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2266 S Dobson Rd Ste 200, Mesa, Arizona |
| Authorized Official Name and Position | Nathan Cloutier (OWNER) |
| Authorized Official Contact | 4803298065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Medical Providers Of Arizona, Llc 2266 S Dobson Rd Ste 200 Mesa AZ 85202-6412 Ph: (480) 329-8065 | Mobile Medical Providers Of Arizona, Llc 2266 S Dobson Rd Ste 200 Mesa AZ 85202-6412 Ph: (480) 329-8065 |
| NPI Number | 1982014619 |
|---|---|
| Provider Enumeration Date | 05/02/2014 |
| Last Update Date | 03/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982014619 | NPI | - | NPPES |
| 005578 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | AP5421 (Arizona) | Primary |
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