Organization
AZIZKO MEDICAL TRANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESAMEDLIN NOURELDIN ABDELAZIZ (OWNER)
(619) 313-9425
Entity
Organization
Contact information
Practice address
6615 N 17TH AVE APT 26, PHOENIX, AZ 85015-1333
(619) 313-9425
Mailing address
6615 N 17TH AVE APT 26, PHOENIX, AZ 85015-1333
(619) 313-9425
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/27/2023
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