B.l. Gustafson, Llc

NPI 1336204577 - Ambulance - 341600000X

NPI Details
NPI 1336204577
Enumeration Date 12/27/2006
Last Updated 01/25/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRIAN LEONARD BRIAN
Position DIRECTOR
Phone (814) 887-1982
Fax
Practice Location
6135 RT 46 NORTH
SMETHPORT PA, 16749, US
Phone (814) 887-1982
Fax
Business Location
PO BOX 344
SMETHPORT PA, 16749-0344, US
Phone (814) 887-1982
Fax
Toxanomy
Taxonomy Code 341600000X
License State Pennsylvania
License Number 04097
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According to our database, B.l. Gustafson, Llc NPI is 1336204577, taxonomy code is 341600000X and license number is 04097, license state is located at Pennsylvania. B.l. Gustafson, Llc physically located at 6135 Rt 46 North, Smethport PA, 16749. NPI Number 1033115704 has the healthcare provider type.

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1336204577 NPI number is provided on an as is basis without warranty of any kind. 1336204577 is maintained by the National Plan & Provider Enumeration System. The contents of B.l. Gustafson, Llc are for informational purposes only.