| NPI | 1699752998 |
|---|---|
| Doing Business As | CANYON STATE AMBULANCE |
| Entity Type | Organization |
| Authorized Contact | RALPH J VASSALLO Vice President Of Billing Services 602-437-6620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: AZ 58) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2009-11-03 |