Organization
AZ MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZEPHANIAH MADLOCK (CEO)
(414) 795-7960
Entity
Organization
Contact information
Practice address
9120 W CAMBRIDGE AVE, PHOENIX, AZ 85037-4251
(414) 795-7960
Mailing address
9120 W CAMBRIDGE AVE, PHOENIX, AZ 85037-4251
(414) 795-7960
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
AZ
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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