Organization
EAGLE EYE MEDICAL TRANSPORTATION
Active
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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