| Organization Name: | ARIZONA MED TRANS PLLC |
| NPI Number: | 1073846101 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JED RYAN CLARIDGE (OWNER/PARAMEDIC) |
| Mailing Address: | 17300 N Diamond Bar Rd Fort Thomas |
| State: | AZ US |
| Postal Code: | 855360068 |
| Phone Number: | 9283222105 |
| Fax Number: | |
| NPI Enumeration Date: | 09/08/2009 |
| NPI Last Update Date: | 09/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |