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Organization
NATIVE STAR MED TRANS LLC
Active
Organization
NATIVE STAR MED TRANS LLC
Active
Other names
Native star med trans llc
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA IBRAHIM (OWNER)
(602) 760-9102
Entity
Organization
Contact information
Practice address
4640 W ALICE AVE, GLENDALE, AZ 85302-5248
(602) 760-9102
Mailing address
4640 W ALICE AVE, GLENDALE, AZ 85302-5248
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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