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OLD PUEBLO MOBILE MEDICINE LLC
NPI 1609493402
Family Medicine in Tucson, AZ

Active since June 29, 2020
9721 E COLETTE ST, TUCSON, AZ 85748(520) 314-1008(682) 201-2429 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Old Pueblo Mobile Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLD PUEBLO MOBILE MEDICINE LLC (NPI 1609493402) is a healthcare organization registered as a family medicine in Tucson, Arizona and active in the NPI registry since June 2020. The organization lists Amanda A Davis, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1609493402
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOLD PUEBLO MOBILE MEDICINE LLC
Location Address9721 E COLETTE STTucson, AZ 85748-2756
Mailing Address9721 E Colette StTucson, AZ 85748-2756 · (520) 314-1008 · Fax (682) 201-2429
Phone(520) 314-1008
Fax(682) 201-2429
Organization SubpartNo
Authorized OfficialAmanda A DavisNurse Practitioner · (520) 822-4423
Enumeration DateJune 29, 2020
NPPES CertifiedJune 29, 2020
✔ NPI 1609493402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9721 E COLETTE ST, Tucson, AZ 85748
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Old Pueblo Mobile Medicine LLC's NPI number?

The NPI number for Old Pueblo Mobile Medicine LLC is 1609493402. It was assigned to this organization in the NPPES registry on June 29, 2020.

Where is Old Pueblo Mobile Medicine LLC located?

Old Pueblo Mobile Medicine LLC is located at 9721 E Colette St, Tucson, AZ 85748. The listed phone number is (520) 314-1008.

What is Old Pueblo Mobile Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Old Pueblo Mobile Medicine LLC was last updated on June 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.