Organization
UNITED EMERGENCY MEDICAL SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA WITTEN (VICE PRESIDENT)
(405) 831-1180
Entity
Organization
Contact information
Practice address
57811 MOCCASIN TRAIL RD, PRAGUE, OK 74864-1136
(405) 831-1180
Mailing address
57811 MOCCASIN TRAIL RD, PRAGUE, OK 74864-1136
(405) 831-1180
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
OK
Other
Enumeration date
08/31/2016
Last updated
09/22/2016
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