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Organization

MY MOBILE MD PSYCHIATRIC SERVICES LLC

Active
Organization subpart
No

Provider details

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

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
02/09/2022
Last updated
02/09/2022
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