Organization
AZ MOBILE DOCTORS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REVELINE GOROSPE (PRACTICE OWNER)
(623) 680-9038
Entity
Organization
Contact information
Practice address
1825 E NORTHERN AVE STE 100, PHOENIX, AZ 85020-3953
(623) 680-9038
(602) 805-5528
Mailing address
1825 E NORTHERN AVE STE 100, PHOENIX, AZ 85020-3953
(623) 680-9038
(602) 805-5528
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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