Organization
OLD PUEBLO MOBILE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA A DAVIS NP (NURSE PRACTITIONER)
(520) 822-4423
Entity
Organization
Contact information
Practice address
9721 E COLETTE ST, TUCSON, AZ 85748-2756
(520) 314-1008
(682) 201-2429
Mailing address
9721 E COLETTE ST, TUCSON, AZ 85748-2756
(520) 314-1008
(682) 201-2429
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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