Organization
EAGLE EYE MEDICAL TRANSPORTATION
Active
Other names
EAGLE EYE MEDICAL TRANSPORTATION, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL IGENE (OWNER)
(602) 699-6393
Entity
Organization
Contact information
Practice address
2107 W BROADWAY RD APT 235, MESA, AZ 85202-1057
(602) 699-6393
Mailing address
2107 W BROADWAY RD APT 235, MESA, AZ 85202-1057
(602) 699-6393
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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