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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