Organization
VASE AMBULANCE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKSON BRUCE WATERS RN, BSN, CLNC (CO-OWNER)
(307) 371-1241
Entity
Organization
Contact information
Practice address
168 ELK ST, ROCK SPRINGS, WY 82901-5241
(307) 371-1241
(307) 362-5139
Mailing address
401 BRIDGER AVE, ROCK SPRINGS, WY 82901-5209
(307) 371-1241
(307) 362-5139
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
68
WY
Other
Enumeration date
12/24/2009
Last updated
05/04/2010
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