Organization
LOST RIVERS EMT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOB MOZES (EMT)
(208) 527-3046
Entity
Organization
Contact information
Practice address
201 NORTH IDAHO STREET, ARCO, ID 83213
(208) 527-3046
Mailing address
201 NORTH IDAHO STREET, ARCO, ID 83213
(208) 527-3046
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
7707
ID
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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