Mobile Care Direct, LLC
Internal Medicine in Phoenix, AZ. Organization (NPI-2).
NPI number1164042404
StatusActive
Last updated in NPPESApr 16, 2020
Details
- NPI
- 1164042404
- Entity type
- Organization (NPI-2)
- Legal business name
- Mobile Care Direct, LLC
- Organization subpart
- No
- Enumeration date
- Apr 16, 2020
- Certification date
- Apr 16, 2020
- Last updated
- Apr 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 2081H0002X | Physical Medicine & Rehabilitation, Hospice and Palliative Medicine | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 251B00000X | Case Management | – | – |
Practice location
5060 N 19th Ave Ste 102Phoenix, AZ 85015-3211
Phone 480-576-8283 · Fax 480-434-6607
Mailing address
530 E McDowell Rd Ste 107-437Phoenix, AZ 85004-1549
Phone 480-576-8283 · Fax 480-434-6607
Authorized official
Adam Bagley
Manager
8083128059
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