Ira Burroughs

NPI 1225164064 - Ambulance - 3416L0300X

NPI Details
NPI 1225164064
Enumeration Date 02/26/2007
Last Updated 01/15/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name IRA IRA
Position DIRECTOR
Phone (618) 667-7495
Fax (618) 667-8114
Practice Location
205 EDWARDSVILLE RD
TROY IL, 62294-1301, US
Phone (618) 667-7495
Fax (618) 667-8114
Business Location
205 EDWARDSVILLE RD
TROY IL, 62294-1301, US
Phone (618) 667-7495
Fax (618) 667-8114
Toxanomy
Taxonomy Code 3416L0300X
License State Illinois
License Number 44876
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According to our database, Ira Burroughs NPI is 1225164064, taxonomy code is 3416L0300X and license number is 44876, license state is located at Illinois. Ira Burroughs physically located at 205 Edwardsville Rd, Troy IL, 62294-1301. NPI Number 1033115704 has the healthcare provider type.

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1225164064 NPI number is provided on an as is basis without warranty of any kind. 1225164064 is maintained by the National Plan & Provider Enumeration System. The contents of Ira Burroughs are for informational purposes only.