Organization
MEDCOM TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN PATRICK MARTIN (OWNER)
(623) 980-5090
Entity
Organization
Contact information
Practice address
9132 W ALBERT LN, PEORIA, AZ 85382-5356
(623) 980-5090
(623) 444-9418
Mailing address
9132 W ALBERT LN, PEORIA, AZ 85382-5356
(623) 980-5090
(623) 444-9418
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
AZ
Other
Enumeration date
07/04/2009
Last updated
07/04/2009
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