Organization
PREMIER MEDICAL TRANSPORT OF ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FROSTIE LIGGITT (OWNER)
(602) 672-4863
Entity
Organization
Contact information
Practice address
3220 W MELODY DR, LAVEEN, AZ 85339-3826
(602) 672-4863
Mailing address
3220 W MELODY DR, LAVEEN, AZ 85339-3826
(602) 672-4863
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
21119394
AZ
344600000X
Taxi
Primary
21119394
AZ
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
Update your record
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