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Organization

VITALOGY EMS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRODIE VERWORN (PRESIDENT)
(406) 546-1232
Entity
Organization

Contact information

Practice address
468 ASH RD, KALISPELL, MT 59901-2325
(406) 270-6955
(406) 309-2127
Mailing address
724 SHADOW LN, KALISPELL, MT 59901-2340
(406) 270-6955
(406) 309-2127

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Enumeration date
08/31/2021
Last updated
10/12/2021
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