Mobile Medical Practitioners

NPI #1265854509 in Bala Cynwyd, Pennsylvania

Provider Information

NPI Number: 1265854509
Entity Type: Organization
Organization Name: Mobile Medical Practitioners
Primary Specialty: Physician Assistant
Enumeration Date: Jan 6, 2014
Last Updated: Jan 6, 2014

Practice Location

Address: 111 PRESIDENTIAL BLVD STE 165
City: Bala Cynwyd
State: Pennsylvania
ZIP Code: 19004-1005
Phone: (215) 701-8153

Authorized Official

Name: MR. LANCE K JOHNSON
Title: OWNER
Phone: (215) 701-8153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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