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Organization
COMMUNITY CARE PARTNERS, LLC
Active
Organization
COMMUNITY CARE PARTNERS, LLC
Active
Other names
In Motion Medical
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI L CASADY (MEMBER)
(480) 462-2950
Entity
Organization
Contact information
Practice address
12035 N SAGUARO BLVD, STE 203, FOUNTAIN HILLS, AZ 85268
(623) 256-3986
Mailing address
12035 N SAGUARO BLVD, STE 203, FOUNTAIN HILLS, AZ 85268-4647
(480) 462-2950
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
04/24/2017
Last updated
06/05/2018
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