Az Premier Mobile Providers

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

AZ PREMIER MOBILE PROVIDERS

Practice address

2737 E Arizona Biltmore Cir Unit 30
Phoenix, AZ 85016-2170

Phone

(602) 329-5743

NPI assigned

Aug 28, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Courtney Harring

Title

Credentialing/ Billing

Phone

(678) 761-5956

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1992353312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N GOULD ST STE R",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 E ARIZONA BILTMORE CIR UNIT 30",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162170",
            "telephone_number": "602-329-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ PREMIER MOBILE PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "HARRING",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "CREDENTIALING/ BILLING",
        "authorized_official_telephone_number": "678-761-5956"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Adult Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.