Organization
MOBILE ON-SITE MAMMOGRAPHY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW WARD (PRESIDENT)
(541) 955-4539
Entity
Organization
Contact information
Practice address
2005 W 14TH ST, SUITE 134, TEMPE, AZ 85281-6925
(480) 967-3767
(480) 967-3787
Mailing address
PO BOX 728, GRANTS PASS, OR 97528-0063
(541) 955-4539
(541) 474-3884
Taxonomy
Speciality
Code
Description
License number
State
261QR0207X
Mobile Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2006
Last updated
03/09/2015
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