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Organization

MY MOBILE MD ROUNDING PROVIDERS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE MARTIN (CEO)
(317) 670-6635
Entity
Organization

Contact information

Practice address
429 E VERMONT ST STE 110, INDIANAPOLIS, IN 46202-3685
(317) 559-0950
(317) 936-3028
Mailing address
PO BOX 586, GALLOWAY, OH 43119-0586
(765) 969-7841

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2084P0800X
Psychiatry Physician
2084P0805X
Geriatric Psychiatry Physician

Other

Enumeration date
05/05/2020
Last updated
05/05/2020
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