| NPI | 1982760179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN C WEAVER Billing Specialist 660-663-3809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: MO 061000) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |