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Organization

PRIME MEDICAL SERVICES, LLC

Active
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Organization

PRIME MEDICAL SERVICES, LLC

Active
Other names
Prime Medical Services
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID UNDERWOOD CPA (EXEC VP & CFO)
(309) 823-7135
Entity
Organization

Contact information

Practice address
115 W JEFFERSON ST, SUITE 401, BLOOMINGTON, IL 61701-3946
(309) 828-4361
Mailing address
115 W JEFFERSON ST, SUITE 401, BLOOMINGTON, IL 61701-3946
(309) 828-4361

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary

Other

Enumeration date
10/05/2016
Last updated
10/05/2016
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