NPI 1023041654

Level 4 Medical Professional Corporation

Organisation Basic Emergency Medical Technician Yuma, AZ

Practice location

Address: 11274 S Fortuna Rd STE I 4, Yuma, AZ 85367-7847
Phone: (928) 345-2150
Fax: (928) 345-2151

Authorised official

Name: David E Smock
Title: Medical Director
Phone: (928) 345-2150

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence OTC2699 (AZ)

Other Emergency Medical Technician, Basic providers in Arizona →

Registry record

NPI: 1023041654
Entity type: Organization
NPI issued: 8 Jul 2006
Record last updated: 11 Sep 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.