Organization
AXION MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN FOBBS (PRESIDENT)
(702) 460-5799
Entity
Organization
Contact information
Practice address
7118 S JEFFERY BLVD, CHICAGO, IL 60649-2426
(702) 460-5799
Mailing address
10627 COUNTRY KNOLL WAY, LAS VEGAS, NV 89135-1258
(702) 243-2777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TF0000X
Family Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363AM0700X
Medical Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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