| NPI | 1376039040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONNA K MOELLER Medical Biller 563-890-2131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: IA 2160500) |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2018-07-06 |