Organization
APPLIED EXPRESS SERVICES LLC
Active
Other names
Fast Forward
Organization subpart
No
Provider details
NPI number
Authorized official
MEHDY MIRIN (CEO/PRESIDENT)
(505) 750-3680
Entity
Organization
Contact information
Practice address
239 ELM ST NE, ALBUQUERQUE, NM 87102-3672
(505) 750-3680
Mailing address
4528 AGATE HILLS RD NW, ALBUQUERQUE, NM 87114-5379
(505) 750-3680
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
07/21/2022
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