Organization
MMG LLC
Active
Parent organization
MMG LLC
Other names
Mobile Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
MMG LLC
Authorized official
KENNETH NORRIS (MANAGING PARTNER)
(801) 485-6166
Entity
Organization
Contact information
Practice address
1355 RAMAR RD STE 12, BULLHEAD CITY, AZ 86442-7100
(928) 763-9505
(928) 763-7370
Mailing address
746 E WINCHESTER ST STE 230B, MURRAY, UT 84107-8528
(801) 456-2333
(801) 456-2330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
03/10/2023
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