Organization
REDTAIL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONOVAN BEGAYE (OWNER)
(505) 713-7417
Entity
Organization
Contact information
Practice address
NAVAJO RT 12 MM29, FORT DEFIANCE, AZ 86504
(505) 713-7417
Mailing address
NAVAJO RT 12 MM29, FORT DEFIANCE, AZ 86504
(505) 713-7417
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
02388827
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D02388827
ID
AZ
Enumeration date
03/04/2014
Last updated
03/04/2014
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