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NPI Code Detail

MEDICARE: FIRST DUE MEDICAL SERVICES

MEDICARE: FIRST DUE MEDICAL SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13416L0300XLand Ambulance

General Provider Information

NPI Number : 1750576237
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIRST DUE MEDICAL SERVICES
Provider Business Mailing Address
First Line : 16343 PLUMMER ST
Second Line :
City : NORTH HILLS
State : CA
Zip : 91343-1939
Country : US
Telephone Number : 818-809-6188
Fax Number :
Provider Business Practice Location Address
First Line : 16343 PLUMMER ST
Second Line :
City : NORTH HILLS
State : CA
Zip : 91343-1939
Country : US
Telephone Number : 818-809-6188
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. BRAD WATERS
Credential :
Telephone Number : 818-809-6188
Provider Enumeration Date : 09/07/2007
Last Update Date : 09/07/2007

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Directions to “FIRST DUE MEDICAL SERVICES ” Practice Location

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