| NPI | 1750555470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG JONES Dmd Pc 618-931-3368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416S0300X Ambulance, Water Transport (Licence: IL 019016652) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |