Organization
SOUTHWEST MOBILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STEVEN FARMER (PRESIDENT OWNER)
(480) 654-2292
Entity
Organization
Contact information
Practice address
4406 E MAIN STREET, SUITE 110, MESA, AZ 85205
(480) 654-2292
(480) 654-2314
Mailing address
4406 E MAIN STREET, SUITE 110, MESA, AZ 85205
(480) 654-2292
(480) 654-2314
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111609
—
AZ
01
—
AZ0272250
BLUE CROSS
AZ
Enumeration date
08/23/2006
Last updated
08/22/2020
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