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Organization

AMAZING WHEELS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GENNADIY GNATYUK (OWNER)
(720) 495-0256
Entity
Organization

Contact information

Practice address
3090 S JAMAICA CT, 209, AURORA, CO 80014-2658
(720) 495-0256
Mailing address
PO BOX 24312, DENVER, CO 80224-0312

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
B-9937
CO
347E00000X
Transportation Broker
Primary
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32871546
CO
Enumeration date
06/16/2015
Last updated
04/08/2020
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