Organization
BRUVVERS TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON SCOTT WILLIE (MEMBER/OWNER)
(505) 457-6186
Entity
Organization
Contact information
Practice address
MIDDLEWELLS COMMUNITY #52, SANDERS, AZ 86512
(505) 457-6186
Mailing address
413 SAGUARO DR, GALLUP, NM 87301-6778
(505) 457-6186
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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