Organization
NATIVE STAR MED TRANS LLC
Active
Other names
Native star med trans llc
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA IBRAHIM (OWNER)
(602) 760-9102
Entity
Organization
Contact information
Practice address
4640 W ALICE AVE, GLENDALE, AZ 85302-5248
(602) 760-9102
Mailing address
4640 W ALICE AVE, GLENDALE, AZ 85302-5248
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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