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Contact Information

MOBILE DOC ALLIANCE LLC
2355 E CAMELBACK RD
STE 615
PHOENIX, AZ85016-3458
 Phone: 480-359-3998
 Fax: 480-385-6785
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MOBILE DOC ALLIANCE LLC

NPI Number 1932648607
LBN Legal business name MOBILE DOC ALLIANCE LLC
Authorized official MAI SHANNON - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/15/2017
Last updated 02/15/2017 - About 9 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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