Individual
GEOFFREY OUNDA OBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
545 PENN RIDGE DR, NORTH LIBERTY, IA 52317-7828
(609) 470-7169
Mailing address
545 PENN RIDGE DR, NORTH LIBERTY, IA 52317-7828
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801319769
—
IA
Enumeration date
07/24/2017
Last updated
07/21/2022
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