Organization
MOON RIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MUSRA ABZA (MANAGER)
(720) 345-1303
Entity
Organization
Contact information
Practice address
2175 ACADEMY CIR, COLORADO SPRINGS, CO 80909-1695
(720) 345-1303
Mailing address
1300 S WILLOW ST APT 11308, DENVER, CO 80247-2178
(720) 345-1303
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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