Organization
SOUTHWEST MOBILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK STEVEN FARMER (PRESIDENT/OWNER)
(480) 654-2292
Entity
Organization
Contact information
Practice address
15458 N 99TH AVE, SUN CITY, AZ 85351-1973
(623) 875-7296
(623) 875-8443
Mailing address
4406 E MAIN ST STE 110, MESA, AZ 85205-7910
(480) 654-2292
(480) 654-2314
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
07381180X
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111609
—
AZ
01
—
AZ0272250
BLUE CROSS
AZ
Enumeration date
10/04/2006
Last updated
09/28/2012
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