Organization
MY MOBILE MD NORTHERN INDIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE MARTIN PARTNER (CEO)
(317) 670-6635
Entity
Organization
Contact information
Practice address
429 E VERMONT ST STE 110, INDIANAPOLIS, IN 46202-3685
(317) 559-0950
(317) 936-3028
Mailing address
PO BOX 305, UNION CITY, IN 47390-0305
(765) 969-7841
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
04/21/2020
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