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Organization

AZMOBILEMD

Active
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Organization

AZMOBILEMD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAM ILE (CEO)
(623) 218-4171
Entity
Organization

Contact information

Practice address
39506 N DAISY MOUNTAIN DR STE 122-627, ANTHEM, AZ 85086-6084
(623) 218-4171
(623) 321-1917
Mailing address
39506 N DAISY MOUNTAIN DR STE 122-627, ANTHEM, AZ 85086-6084
(623) 218-4171
(623) 321-1917

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
42672
AZ

Other

Enumeration date
11/02/2016
Last updated
05/06/2022
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