NPI 1992353312 · live from the CMS NPI Registry
Az Premier Mobile Providers
Family Medicine, Adult Medicine in Phoenix, AZ. National Provider Identifier 1992353312, active.
NPI record
| NPI | 1992353312 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Adult Medicine 207QA0505X |
| Practice location | 2737 E Arizona Biltmore Cir Unit 30, Phoenix, AZ 85016 |
| Practice phone | 602-329-5743 |
| Mailing address | 30 N Gould St Ste R, Sheridan, WY 82801 |
| Enumerated | August 28, 2019 |
| Last updated | January 22, 2020 |
| Authorized official | Courtney Harring, Credentialing/ Billing |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Adult Medicine primary | 207QA0505X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.