# MY MOBILE MD OHIO LLC

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

## Provider details

- **NPI number:** 1992372031
- **Authorized official:** STEVE MARTIN (CEO)
- **Authorized official phone:** (317) 670-6635

## Contact information

- **Practice address:** 6129 NASBY DR, GALLOWAY, OH 43119-8291
- **Practice address phone:** (317) 559-0950
- **Mailing address:** PO BOX 586, GALLOWAY, OH 43119-0586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/08/2021
- **Last updated:** 07/06/2023