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Organization

RIDESOURCE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL PINCKARD (PRESIDENT)
(602) 200-5500
Entity
Organization

Contact information

Practice address
4600 W CAMELBACK RD, GLENDALE, AZ 85301-7609
(602) 200-5500
Mailing address
4600 W CAMELBACK RD, GLENDALE, AZ 85301-7609
(602) 200-5500

Taxonomy

Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
347E00000X
TRANSPORTATION BROKERAGE
AZ
Enumeration date
01/18/2007
Last updated
08/22/2020
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