Organization
UNITED MMC NETWORKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN BISHOP (PRESIDENT)
(602) 955-1444
Entity
Organization
Contact information
Practice address
2821 N 24TH ST, PHOENIX, AZ 85008-1003
(602) 955-1444
Mailing address
2821 N 24TH ST, PHOENIX, AZ 85008-1003
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
L-1706670-6
AZ
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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