Provider Demographics
NPI:1629737986
Name:MOBILITY FOOT CARE PLLC
Entity Type:Organization
Organization Name:MOBILITY FOOT CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DREW
Authorized Official - Middle Name:C
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:602-750-9730
Mailing Address - Street 1:5755 E RIVER RD APT 915
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-6707
Mailing Address - Country:US
Mailing Address - Phone:602-750-9730
Mailing Address - Fax:
Practice Address - Street 1:1333 W GUADALUPE RD APT 811
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-3018
Practice Address - Country:US
Practice Address - Phone:208-670-4440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service