Walter M Dise is a health care provider in Queen Creek, AZ. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||34095 N Slate Creek Dr, Queen Creek, AZ 85243-3420, US|
|Practice Location Phone||480-430-5328|
|Practice Location Fax||480-354-7247|
|Legal Business Name||WALTER M DISE|
|Other Organization Name||GENERAL MEDICAL TRANSPORTATION|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Jul 1, 2008|
|Last Update Date ?||Jul 1, 2008|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Non-emergency Medical Transport (VAN)||Transportation Services||9454||Arizona|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Walter M Dise's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Mr. Walter Dise|
|Authorized Official Title/Position||OWNER/PRESIDENT|
|Authorized Official Phone Number||480-430-5328|