Organization
CITY OF BENNETT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONNA K MOELLER (MEDICAL BILLER)
(563) 890-2131
Entity
Organization
Contact information
Practice address
145 MAIN ST, BENNETT, IA 52721
(563) 890-2131
Mailing address
PO BOX 45, BENNETT, IA 52721-0045
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2160500
IA
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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