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Organization
ONESOURCE SENIOR HEALTHCARE PLLC
Active
Organization
ONESOURCE SENIOR HEALTHCARE PLLC
Active
Other names
OneSource Mobile Healthcare PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHDRA SHABA OD (OWNER)
(888) 495-4489
Entity
Organization
Contact information
Practice address
16427 N SCOTTSDALE RD STE 410, SCOTTSDALE, AZ 85254-7102
(888) 495-4489
(602) 865-8090
Mailing address
14050 N 83RD AVE STE 290, PEORIA, AZ 85381-5650
(888) 495-4489
(602) 865-8090
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
213E00000X
Podiatrist
Primary
—
—
231H00000X
Audiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
944102
—
AZ
Enumeration date
07/03/2014
Last updated
07/08/2024
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