NPI 1700362738
Four Corners LLC
Practice location
- Address
- 1704 Llano St STE B, Santa Fe, NM 87505-5415
- Phone
- (520) 339-9276
- Mailing address
- 5761 W Park Ave, Chandler, AZ 85226-1241
Authorised official
- Name
- Osama Wali
- Title
- General Manager
- Phone
- (520) 339-9726
Registered specialties
Driver
Primary
Registry record
- NPI
- 1700362738
- Entity type
- Organization
- NPI issued
- 12 Jul 2018
- Record last updated
- 12 Jul 2018
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.