Level 4 Medical Professional Corporation

NPI #1023041654 in Yuma, Arizona

Provider Information

NPI Number
1023041654
Entity Type
Organization
Organization Name
Level 4 Medical Professional Corporation
Primary Specialty
Emergency Medical Technician, Basic
Enumeration Date
Jul 8, 2006
Last Updated
Sep 11, 2017

Practice Location

Address
11274 S FORTUNA RD
Address 2
STE I 4
City
Yuma
State
Arizona
ZIP Code
85367-7847
Phone
(928) 345-2150

Authorized Official

Name
DR. DAVID E SMOCK, M.D
Title
MEDICAL DIRECTOR
Phone
(928) 345-2150

Specialties & Taxonomy Codes

Specialty
Emergency Medical Technician, Basic

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