Organization
VAX MOBILE NC LLC
Active
Other names
Vax Mobile
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHAN TOKARZ (CEO)
(847) 275-1489
Entity
Organization
Contact information
Practice address
204 CRESTMONT RIDGE DR, APEX, NC 27523-7119
(847) 275-1489
Mailing address
204 CRESTMONT RIDGE DR, APEX, NC 27523-7119
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
05/22/2020
Last updated
08/10/2020
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