Individual
MR. ABDULLAH A TALIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
440 N WESTWOOD, MESA, AZ 85201-5526
(480) 370-8545
(480) 461-6670
Mailing address
440 N WESTWOOD, MESA, AZ 85201-5526
(480) 370-8545
(480) 461-6670
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D04960446
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160823
TRANSPORTAION PROVIDER
AZ
Enumeration date
06/09/2007
Last updated
07/08/2007
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