# AZ PREMIER MOBILE PROVIDERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992353312
- **Authorized official:** COURTNEY HARRING (CREDENTIALING/ BILLING)
- **Authorized official phone:** (678) 761-5956

## Contact information

- **Practice address:** 2737 E ARIZONA BILTMORE CIR UNIT 30, PHOENIX, AZ 85016-2170
- **Practice address phone:** (602) 329-5743
- **Mailing address:** 30 N GOULD ST STE R, SHERIDAN, WY 82801-6317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2019
- **Last updated:** 01/22/2020