Organization
PROFESSIONAL MEDICAL TRANSPORT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JOSEPH DORN (CHIEF ADMINISTRATIVE OFFICER)
(833) 703-2294
Entity
Organization
Contact information
Practice address
617 W MAIN ST, MESA, AZ 85201-7204
(480) 446-2513
Mailing address
PO BOX 847102, DALLAS, TX 75284-7102
(800) 913-9106
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
CON # 71
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200780
—
AZ
Enumeration date
08/28/2006
Last updated
09/16/2025
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