Individual
MICHAEL REBUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1325 W ROMA AVE, PHOENIX, AZ 85013-2827
(480) 703-3057
Mailing address
1325 W ROMA AVE, PHOENIX, AZ 85013-2827
(480) 703-3057
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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