Organization
ARIZONA AMBULANCE OF DOUGLAS, INC.
Active
Organization
ARIZONA AMBULANCE OF DOUGLAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL A PEDERSEN JR. (MANAGING PARTNER)
(520) 631-6022
Entity
Organization
Contact information
Practice address
2174 W OAK AVE, DOUGLAS, AZ 85607-6003
(520) 631-6022
Mailing address
PO BOX 36928, TUCSON, AZ 85740-6928
(520) 631-6022
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
120
AZ
Other
Enumeration date
07/28/2005
Last updated
08/22/2020
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