MARICOPA MOBILE MED INC. NPI 1346619087

NPI Information

NPI: 1346619087
Provider Name: MARICOPA MOBILE MED, INC.

Other Name: MARICOPA MOBILE MED

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2902 W CLARENDON AVE
PHOENIX, AZ
ZIP 85017
Phone: (520) 858-6181
Get Directions

MARICOPA MOBILE MED, INC. is a primary care clinic center in Phoenix, AZ. MARICOPA MOBILE MED, INC. NPI is 1346619087. The provider is registered as an organization entity type.
The provider Other Name Is Maricopa Mobile Med.

The provider's business location address is:

2902 W CLARENDON AVE
PHOENIX, AZ
ZIP 85017-609
Phone: (520) 858-6181
Fax: (866) 624-8718

The provider's authorized official is John Elwin Buckwalter .
The authorized official title is Business Manager and has the following contact phone number (520) 858-6181.

The enumeration date for this NPI number is 9/23/2015 and was last updated on 3/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care		ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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