Healthcare Provider Details

I. General information

NPI: 1629424379
Provider Name (Legal Business Name): MOBILEONEDOCS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2016
Last Update Date: 12/08/2020
Certification Date: 12/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10115 E BELL RD #107-234
SCOTTSDALE AZ
85260-2189
US

IV. Provider business mailing address

10115 E BELL RD #107-234
SCOTTSDALE AZ
85260-2189
US

V. Phone/Fax

Practice location:
  • Phone: 888-709-8721
  • Fax: 888-709-8721
Mailing address:
  • Phone: 888-709-8721
  • Fax: 888-709-8721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: LISA ANN SWANSEN
Title or Position: PRESIDEN
Credential:
Phone: 480-843-9877