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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