Organization
AMERICAN PONY EXPRESS, INC.
Active
Other names
VIP Taxi
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE GAUER (PRESIDENT / DIRECTOR)
(847) 566-0330
Entity
Organization
Contact information
Practice address
2710 E WASHINGTON ST, PHOENIX, AZ 85034-1423
(602) 847-8294
(602) 275-2447
Mailing address
1101 W PRINCE RD, TUCSON, AZ 85705-3135
(520) 888-2996
(520) 293-2618
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
07-393229-U
AZ
344600000X
Taxi
Primary
07-393229-U
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
395171
AHCCCS ID NUMBER
AZ
Enumeration date
03/24/2009
Last updated
04/10/2012
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