| Organization Name: | MRD HEALTHCARE LLC |
| NPI Number: | 1932452273 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MATTHEW DORCHESTER (OWNER) |
| Mailing Address: | 18325 N Allied Way Suite 105 Phoenix |
| State: | AZ US |
| Postal Code: | 850543105 |
| Phone Number: | 4809913399 |
| Fax Number: | |
| NPI Enumeration Date: | 10/24/2012 |
| NPI Last Update Date: | 10/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 10597 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |