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Organization
MY MOBILE MD ROUNDING PROVIDERS INC
Active
Organization
MY MOBILE MD ROUNDING PROVIDERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE MARTIN (CEO)
(317) 670-6635
Entity
Organization
Contact information
Practice address
429 E VERMONT ST STE 110, INDIANAPOLIS, IN 46202-3685
(317) 559-0950
(317) 936-3028
Mailing address
PO BOX 586, GALLOWAY, OH 43119-0586
(765) 969-7841
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
NULL
2084P0805X
Geriatric Psychiatry Physician
—
—
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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