Individual provider · Type 1 NPI
Bol Gach Pan
Non-emergency Medical Transport (VAN) · Peoria, AZ
NPI number
1336929488
Active
Practice location
9250 N 75th Ave Lot 48
Peoria, AZ 85345-6634
Mailing address
8050 N 19th Ave # 101
Phoenix, AZ 85021-5101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-emergency Medical Transport (VAN) Primary | 343900000X | D06464178 (AZ) |
Non-emergency Medical Transport (VAN): A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
Another provider at this address
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About NPI 1336929488
Bol Gach Pan's National Provider Identifier is 1336929488, issued on Oct 4, 2023. The primary taxonomy on file is Non-emergency Medical Transport (VAN) (343900000X), and the practice location is in Peoria, AZ. The record was last updated on Oct 4, 2023.