Organization
APPLIED EXPRESS SERVICES LLC
Active
Other names
Fast Forward
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MEHDY MIRIN (CEO/PRESIDENT)
(619) 606-4774
Entity
Organization
Contact information
Practice address
239 ELM ST NE, ALBUQUERQUE, NM 87102-3672
(619) 606-4774
Mailing address
PO BOX 67645, ALBUQUERQUE, NM 87193-7645
(619) 606-4774
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
NM
2084P0800X
Psychiatry Physician
—
NM
Other
Enumeration date
08/03/2017
Last updated
03/19/2018
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