MEDICARE: AZTEC TRANSPORTATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347C00000X	Private Vehicle	AMP64	AZ

General Provider Information

NPI Number	:	1023442779
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AZTEC TRANSPORTATION

Provider Business Mailing Address
First Line	:	2596 W BLUFFS PEAK CT
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85742-4479
Country	:	US
Telephone Number	:	520-444-7852
Fax Number	:

Provider Business Practice Location Address
First Line	:	2596 W BLUFFS PEAK CT
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85742-4479
Country	:	US
Telephone Number	:	520-444-7852
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	STEPHEN MICHAEL LOWN-PETERS
Credential	:
Telephone Number	:	520-444-7852

Provider Enumeration Date	:	08/29/2013
Last Update Date	:	08/29/2013

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Directions to “AZTEC TRANSPORTATION ” Practice Location

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