Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Old Pueblo Mobile Medicine LLC

Organization Family Medicine Physician · NPI 1609493402

Old Pueblo Mobile Medicine LLC provides Family Medicine Physician services in Tucson, Arizona. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9721 E Colette St
Tucson, AZ 85748-2756
Phone: (520) 314-1008
Fax: (682) 201-2429
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1609493402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Davis — Nurse Practitioner · (520) 822-4423
NPI enumeratedJune 29, 2020
Last updated in NPPESJune 29, 2020
Certification dateJune 29, 2020
Mailing address9721 E Colette St, Tucson, AZ 85748-2756

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