Medcom Medical, LLC

NPI #1205962792 in Globe, Arizona

Provider Information

NPI Number: 1205962792
Entity Type: Organization
Organization Name: Medcom Medical, LLC
Primary Specialty: Family Medicine
Enumeration Date: Feb 26, 2007
Last Updated: Oct 19, 2015

Practice Location

Address: 108 SOUTH BROAD ST.
City: Globe
State: Arizona
ZIP Code: 85501
Phone: (928) 425-6592

Authorized Official

Name: OSCAR ERNESTO ANDRADE, MD
Title: PRESIDENT
Phone: (928) 402-0952

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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