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Organization

ALL NATIVE MEDICAL TRANSPORT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY R DIA (OWNER)
(928) 205-5195
Entity
Organization

Contact information

Practice address
BONITA DRIVE, FT. DEFIANCE HOSPITAL, FT DEFIANCE, AZ 86504
(928) 205-5195
Mailing address
PO BOX 2206, WINDOW ROCK, AZ 86515-2206

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
AZ

Other

Enumeration date
08/12/2010
Last updated
08/12/2010
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