Wagon Trail Professional Transport LLC
Wagon Trail Professional Transport LLC is a Non-emergency Medical Transport (VAN) in Fort Defiance, Arizona. Licensed in Arizona. Registered with an NPI since 2013.
- Licensed in
- AZ
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
24 Slick Rock DrFort Defiance, AZ 86504
Phone: (928) 729-2944
Fax: (928) 729-2400
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X · Licence L-1781666-8 (AZ) |
|---|
Record details
| NPI number | 1124455357 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Forrest Lowley — Owner · (928) 729-2944 |
| NPI enumerated | October 2, 2013 |
| Last updated in NPPES | October 2, 2013 |
| Mailing address | Po Box 3561, Fort Defiance, AZ 86504 |
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