Organization
SANCTUARY MEDICAL TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY J MILLER (EXECUTIVE ASSISTANT)
(503) 779-7530
Entity
Organization
Contact information
Practice address
10000 N 31ST AVE, PHOENIX, AZ 85051-9582
(503) 779-7530
Mailing address
10000 N 31ST AVE, PHOENIX, AZ 85051-9582
(503) 779-7530
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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