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Organization

MOBILE CARE DIRECT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADAM BAGLEY (MANAGER)
(808) 312-8059
Entity
Organization

Contact information

Practice address
5060 N 19TH AVE STE 102, PHOENIX, AZ 85015-3211
(480) 576-8283
(480) 434-6607
Mailing address
530 E MCDOWELL RD STE 107-437, PHOENIX, AZ 85004-1549
(480) 576-8283
(480) 434-6607

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
2084P0800X
Psychiatry Physician
251B00000X
Case Management Agency

Other

Enumeration date
04/16/2020
Last updated
04/16/2020
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