NPI 1033474960
Abo All
Practice location
- Address
- 3907 W Palo Verde Dr, Phoenix, AZ 85019-1828
- Phone
- (602) 405-5500
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1033474960
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Jul 2012
- Record last updated
- 6 Jul 2012
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.