Organization
DAISY MOUNTAIN FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN PATRICK TOBIN (FIRE CHIEF)
(623) 465-7400
Entity
Organization
Contact information
Practice address
41018 N DAISY MOUNTAIN DR, ANTHEM, AZ 85086
(623) 465-7400
(623) 465-7632
Mailing address
41018 N DAISY MOUNTAIN DR, ANTHEM, AZ 85086-4615
(623) 465-7400
(623) 465-7632
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
105
AZ
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375479
—
AZ
01
—
AY6321
HEALTHNET
AZ
01
—
AZ0151270
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
02/20/2007
Last updated
01/21/2020
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