Organization
MMG LLC
Active
Other names
Mobile Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH E NORRIS (MANAGING PARTNER)
(801) 485-6166
Entity
Organization
Contact information
Practice address
2000 S COLORADO BLVD STE 110, DENVER, CO 80222-7917
(303) 940-2495
(303) 940-2057
Mailing address
450 S 900 E STE 100, SALT LAKE CITY, UT 84102-2983
(801) 485-6166
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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