Organization
EXCEL SERVICES
Active
Other names
Excel Transit
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY D CAVANAUGH (OWNER)
(623) 512-0322
Entity
Organization
Contact information
Practice address
14648 W MOLLY LN, SURPRISE, AZ 85387-6635
(623) 512-0322
(801) 340-1048
Mailing address
14648 W MOLLY LN, SURPRISE, AZ 85387-6635
(623) 512-0322
(801) 340-1048
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D01915479
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
459754
—
AZ
Enumeration date
02/24/2011
Last updated
02/24/2011
Update your record
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