Organization
MARICOPA MOBILE MED, INC.
Active
Other names
Maricopa Mobile Med
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ELWIN BUCKWALTER FNP (BUSINESS MANAGER)
(520) 858-6181
Entity
Organization
Contact information
Practice address
2902 W CLARENDON AVE, PHOENIX, AZ 85017-4609
(520) 858-6181
(866) 624-8718
Mailing address
20548 N DONITHAN WAY, MARICOPA, AZ 85138-2466
(520) 858-6181
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
AZ
Other
Enumeration date
09/23/2015
Last updated
03/18/2016
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