| NPI | 1811614225 |
|---|---|
| Doing Business As | MOBILE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | KENNETH NORRIS Managing Partner 801-485-6166 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2023-03-10 |