| NPI | 1942994793 |
|---|---|
| Doing Business As | PHOENIX BAY MOBILE HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEPHEN ANDREWS Owner 302-354-5068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-05 |