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 |