NPI | 1699383794 |
---|---|
Doing Business As | MOBILE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | KENNETH E NORRIS Managing Partner 801-485-6166 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2020-07-15 |
Last Update Date | 2020-07-15 |