Organization
MOBILE MEDIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN BENTLEY (PARTNER)
(405) 627-5578
Entity
Organization
Contact information
Practice address
1305 WINNIPEG DR, YUKON, OK 73099
(405) 261-6858
Mailing address
9412 SW 32 ST, OKLAHOMA CITY, OK 73179
(405) 261-6858
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
SAV 010
OK
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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