Organization
VANGUARD MOBILE PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TARIK M SHIRIF (CEO, PRESIDENT)
(480) 246-3593
Entity
Organization
Contact information
Practice address
105 N PASADENA ST STE 3, GILBERT, AZ 85233-5013
(480) 246-3500
(480) 246-3525
Mailing address
105 N PASADENA ST STE 3, GILBERT, AZ 85233-5013
(480) 246-3500
(480) 246-3525
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363LC1500X
Community Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/21/2016
Last updated
09/14/2020
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