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Organization
AZ PREMIER MOBILE PROVIDERS
Active
Organization
AZ PREMIER MOBILE PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY HARRING (CREDENTIALING/ BILLING)
(678) 761-5956
Entity
Organization
Contact information
Practice address
2737 E ARIZONA BILTMORE CIR UNIT 30, PHOENIX, AZ 85016-2170
(602) 329-5743
Mailing address
30 N GOULD ST STE R, SHERIDAN, WY 82801-6317
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
01/22/2020
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