| NPI | 1497299101 |
|---|---|
| Former Legal Business Name | BAKKEN BANDITS TRANSPORT, LLC |
| Entity Type | Organization |
| Authorized Contact | DWIGHT C BOYD CEO 928-326-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2016-12-14 |