Individual
BRANDON SCOTT FLUGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 S IOWA ST, MANLY, IA 50456-7748
(641) 590-1609
Mailing address
PO BOX 175, MANLY, IA 50456-0175
(641) 590-1609
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
734ZZ0755
IA
344600000X
Taxi
734ZZ0755
IA
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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