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MOBILE DOC ALLIANCE LLC NPI 1932648607


NPI Information

NPI: 1932648607
Provider Name: MOBILE DOC ALLIANCE LLC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
2355 E CAMELBACK RD
STE 615
PHOENIX, AZ
ZIP 85016
Phone: (480) 359-3998
Get Directions

MOBILE DOC ALLIANCE LLC is a geriatric medicine family medicine in Phoenix, AZ. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. MOBILE DOC ALLIANCE LLC NPI is 1932648607. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2355 E CAMELBACK RD
STE 615
PHOENIX, AZ
ZIP 85016-458
Phone: (480) 359-3998
Fax: (480) 385-6785

The provider's authorized official is Mai Shannon .
The authorized official title is Managing Member and has the following contact phone number (480) 359-3998.

The enumeration date for this NPI number is 2/15/2017 and was last updated on 2/15/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineYes
2207QH0002XFamily MedicineHospice and Palliative MedicineNo
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerNo
5363LP2300XNurse PractitionerPrimary CareNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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