Organization
GMT TRANSPORTATION PHOENIX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RIAAN KOCK (OWNER)
(480) 948-4655
Entity
Organization
Contact information
Practice address
4147 S 37TH ST, PHOENIX, AZ 85040-1842
(480) 948-4655
(623) 258-4311
Mailing address
4147 S 37TH ST, PHOENIX, AZ 85040-1842
(480) 948-4655
(623) 258-4311
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/12/2012
Last updated
11/12/2012
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