Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Air Transport |
3416A0800X | 59 | Ambulance Service Provider |
| NPI # | 1265749055 |
| LBN Legal business name | WESTERN STATES AIR MEDICAL LLC |
| Authorized official | TROY WATSON - (MEDICAL DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/01/2010 |
| Last updated | 09/01/2010 - About 16 years ago |
| Identifiers | n/a |
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