| Vax Mobile | |
|
204 Crestmont Ridge Dr Apex NC 27523-7119 | |
| (847) 275-1489 | |
| Not Available |
| Full Name | Vax Mobile |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 204 Crestmont Ridge Dr, Apex, North Carolina |
| Authorized Official Name and Position | Stephan Tokarz (CEO) |
| Authorized Official Contact | 8472751489 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vax Mobile 204 Crestmont Ridge Dr Apex NC 27523-7119 | Vax Mobile 204 Crestmont Ridge Dr Apex NC 27523-7119 Ph: (847) 275-1489 |
| NPI Number | 1972126092 |
|---|---|
| Provider Enumeration Date | 05/22/2020 |
| Last Update Date | 08/10/2020 |
| Certification Date | 08/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972126092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 305S00000X | Point Of Service | () | Secondary |
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