Individual
VALERIY ISAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 W ANDERSON AVE, PHOENIX, AZ 85023-6542
(480) 262-2470
Mailing address
505 W ANDERSON AVE, PHOENIX, AZ 85023-6542
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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