Organization
MOBILE MEDICAL PROVIDERS OF ARIZONA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN CLOUTIER NP-C (OWNER)
(480) 329-8065
Entity
Organization
Contact information
Practice address
2266 S DOBSON RD STE 200, MESA, AZ 85202-6412
(480) 329-8065
Mailing address
2266 S DOBSON RD STE 200, MESA, AZ 85202-6412
(480) 329-8065
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AP5421
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005578
—
AZ
Enumeration date
05/02/2014
Last updated
03/30/2015
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