Organization
MMG LLC
Active
Other names
Mobile Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH E NORRIS (MANAGING PARTNER)
(801) 485-6166
Entity
Organization
Contact information
Practice address
2440 S TITANIUM PL, MERIDIAN, ID 83642-6703
(208) 456-2659
(208) 454-0854
Mailing address
450 S 900 E STE 100, SALT LAKE CITY, UT 84102-2983
(801) 456-6166
(801) 531-1949
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
07/22/2022
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